Healthcare Provider Details

I. General information

NPI: 1558026260
Provider Name (Legal Business Name): KAREN PEREZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 E 34TH ST
NEW YORK NY
10016-4901
US

IV. Provider business mailing address

424 E 34TH ST
NEW YORK NY
10016-4901
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7300
  • Fax:
Mailing address:
  • Phone: 646-984-4865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number348340
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: