Individual
DANIEL PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1391 HARRISON STREET, ELMONT, NY 11003
(718) 570-5690
Mailing address
1391 HARRISON STREET, ELMONT, NY 11003
(718) 570-5690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006666
NY
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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