Individual
MARGARITA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 PROSPECT AVE, BRONX, NY 10459-1208
(718) 991-5590
Mailing address
1394 PROSPECT AVE APT 1FL, BRONX, NY 10459-1405
(914) 310-3372
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
653495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YLK88151410
EMPIRE BLUE CROSS BLUE SHIELD
NY
Enumeration date
08/18/2016
Last updated
08/18/2016
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