Individual
LUZ LILLIAN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
215 E GUN HILL RD, 5P, BRONX, NY 10467-2120
(646) 271-1014
Mailing address
PO BOX 672191, BRONX, NY 10467-0804
(646) 271-1014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0-10239
NY
Other
Enumeration date
10/05/2010
Last updated
10/06/2010
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