Individual
MR. JOSE ANTONIO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC # 18600
Contact information
Practice address
202 FLATBUSH AVE # 206, BROOKLYN, NY 11217-2177
(718) 398-0800
(718) 789-8807
Mailing address
202 FLATBUSH AVE # 206, BROOKLYN, NY 11217-2177
(718) 398-0800
(718) 789-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18600
NY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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