Individual
MARIA C PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-2154
Mailing address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 641-2154
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2020
Last updated
11/01/2021
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