Individual
PATRICIA PEREYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 BROADWAY, NEW YORK, NY 10018-2301
(516) 444-5376
Mailing address
6520 BOOTH ST APT 5K, REGO PARK, NY 11374-4034
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006196
NY
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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