Individual
DANIEL BRIAN PERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
459 COLUMBUS AVE UNIT 1023, NEW YORK, NY 10024-5129
(212) 994-4921
Mailing address
PO BOX 964, GOSHEN, NY 10924-0964
(845) 820-0026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P134159
NY
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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