Individual
JOSE ALBERTO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8811 34TH AVE APT 3C, JACKSON HEIGHTS, NY 11372-3424
(347) 355-1675
Mailing address
8811 34TH AVE APT 3C, JACKSON HEIGHTS, NY 11372-3424
(347) 355-1675
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ME50515P
—
NY
Enumeration date
03/18/2015
Last updated
03/18/2015
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