Individual
ANNETTE PEREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4008 FORLEY ST, ELMHURST, NY 11373-1427
(718) 446-0270
(718) 446-5939
Mailing address
4008 FORLEY STREET, ELMHURST, NY 11373-1493
(718) 446-0270
(718) 446-5939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225537
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02356572
—
NY
Enumeration date
07/15/2006
Last updated
06/07/2013
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