Healthcare Provider Details

I. General information

NPI: 1184948366
Provider Name (Legal Business Name): MISS ANNETTE MARIE PEREL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 03/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 W 87TH ST
NEW YORK NY
10024-2904
US

IV. Provider business mailing address

175 WEST 87TH ST.
NY NY
10024-2904
US

V. Phone/Fax

Practice location:
  • Phone: 646-415-0889
  • Fax:
Mailing address:
  • Phone: 646-415-0889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: