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Individual

HENRY MIGUEL PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
882 BERGEN STREET, BROOKLYN, NY 11238
(718) 613-7510
(718) 613-7564
Mailing address
3554 ROCHAMBEAU AVE APT 62, BRONX, NY 10467-1378
(917) 863-4841

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6772
NY

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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