Individual
MS. FANNEY PEREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 THIRD AVENUE, NEW YORK, NY 10035
(212) 289-6650
(212) 360-6149
Mailing address
2265 THIRD AVENUE, NEW YORK, NY 10035
(212) 289-6650
(212) 360-6149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060281-1
NY
1223D0001X
Public Health Dentistry
060281-1
NY
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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