Individual
DR. EDWIN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1396 MYRTLE AVE, BROOKLYN, NY 11237-4513
(718) 919-1000
Mailing address
811 WILSON ST, VALLEY STREAM, NY 11581-3527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD00049215
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
279837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8538217
—
WA
Enumeration date
06/20/2008
Last updated
11/19/2015
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