Individual
MRS. CECILIA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3607 203RD ST, BAYSIDE, NY 11361-1123
(718) 428-0934
Mailing address
3607 203RD ST, BAYSIDE, NY 11361-1123
(718) 428-0934
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
512856
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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