Individual
YANISET PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NEWARK AVE STE 204, BELLEVILLE, NJ 07109-1193
(973) 450-2158
(973) 450-2027
Mailing address
428 66TH ST APT 2R, WEST NEW YORK, NJ 07093-2400
(201) 449-5340
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ01277500
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01277500
NJ
Other
Enumeration date
03/08/2022
Last updated
04/10/2024
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