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Individual

RAYMOND PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRPA, CASAC

Contact information

Practice address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(718) 322-2500
(718) 322-1880
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522

Taxonomy

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

Other

Enumeration date
01/30/2025
Last updated
01/30/2025
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