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NPI Code Detail

MEDICARE: VERONICA PEREZ LCSW

MEDICARE: VERONICA PEREZ LCSW
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
11041C0700XClinical Social Worker084032NY

General Provider Information

NPI Number : 1013382936
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA PEREZ LCSW
Provider Business Mailing Address
First Line : 28 DEBEVOISE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4102
Country : US
Telephone Number : 718-963-4430
Fax Number :
Provider Business Practice Location Address
First Line : 28 DEBEVOISE ST
Second Line : 5TH FLOOR
City : BROOKLYN
State : NY
Zip : 11206-4102
Country : US
Telephone Number : 718-963-4430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2015
Last Update Date : 02/26/2016

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Directions to “ VERONICA PEREZ LCSW” Practice Location

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