Individual
MISS ANDREA ELIZABETH PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32 ELLEN ST, RIVERHEAD, NY 11901-6641
(631) 875-1701
Mailing address
32 ELLEN ST, RIVERHEAD, NY 11901-6641
(631) 875-1701
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
351523
NY
Other
Enumeration date
01/07/2025
Last updated
01/11/2025
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