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NPI Code Detail

MEDICARE: ENMELYN PEREZ

MEDICARE:   ENMELYN  PEREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1407560493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENMELYN PEREZ
Provider Business Mailing Address
First Line : 429 63RD ST FL 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4617
Country : US
Telephone Number : 347-775-1259
Fax Number :
Provider Business Practice Location Address
First Line : 2825 3RD AVE STE 402
Second Line :
City : BRONX
State : NY
Zip : 10455-4073
Country : US
Telephone Number : 585-709-8319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2023
Last Update Date : 01/13/2023

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Directions to “ ENMELYN PEREZ ” Practice Location

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