Individual
LORI-ANN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 ELLEN STREET, BETHPAGE, NY 11714
(516) 457-3274
Mailing address
18 ELLEN ST, BETHPAGE, NY 11714-2910
(516) 457-3274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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