Individual
MISS SUZANA MERCEDES PEREZ PIMENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
59 E MAIN ST, APT 19, BAY SHORE, NY 11706-8332
(516) 724-5282
Mailing address
59 E MAIN ST, APT 19, BAY SHORE, NY 11706-8332
(516) 724-5282
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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