Individual
SANDRA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 PELHAM PKWY S, ROOM 807, BRONX, NY 10461-1138
(718) 918-5875
Mailing address
2316 VANCE ST, BRONX, NY 10469-6018
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381804-1
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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