Individual
MRS. BRENDA LEE PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MBA
Contact information
Practice address
5300 MILITARY ROAD, LEWISTON, NY 14092
(716) 297-4800
Mailing address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
232452
NY
207Q00000X
Family Medicine Physician
Primary
232452
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000928936007
BCBS OF WNY
—
05
—
00355266
—
NY
05
—
02675872
—
NY
01
—
110713000116
FIDELIS
NY
Enumeration date
05/03/2006
Last updated
03/26/2014
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