Individual
DESTANIE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18419 90TH AVE, HOLLIS, NY 11423-1706
(203) 887-1422
Mailing address
18419 90TH AVE, HOLLIS, NY 11423-1706
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
925107
NY
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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