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NPI Code Detail

MEDICARE: ALYSSA PEREZ MS

MEDICARE:   ALYSSA  PEREZ  MS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1457762288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA PEREZ MS
Provider Business Mailing Address
First Line : 73 LENOX AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10026-3007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 73 LENOX AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10026-3007
Country : US
Telephone Number : 212-663-1596
Fax Number : 212-663-1323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 05/14/2014

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Directions to “ ALYSSA PEREZ MS” Practice Location

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