Individual
ADELWISA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 110TH ST, FOREST HILLS, NY 11375-2378
(718) 268-3137
(718) 793-7850
Mailing address
6701 110TH ST, FOREST HILLS, NY 11375-2378
(718) 268-3137
(718) 793-7850
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
235946
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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