Individual
JOSE LUIS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1665 BRYANT AVE, APT B, BRONX, NY 10460-5369
(848) 239-9129
Mailing address
1665 BRYANT AVE, APT B, BRONX, NY 10460-5369
(848) 239-9129
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-607
NY
Other
Enumeration date
10/08/2016
Last updated
10/08/2016
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