Healthcare Provider Details

I. General information

NPI: 1942439195
Provider Name (Legal Business Name): ALONDRA PEREZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E GUN HILL RD
BRONX NY
10467-6110
US

IV. Provider business mailing address

863 HUNTS POINT AVE APT 3B
BRONX NY
10474-5435
US

V. Phone/Fax

Practice location:
  • Phone: 347-326-8488
  • Fax:
Mailing address:
  • Phone: 347-326-8488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: