Brian Perez P.T.A

NPI 1205114048 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1205114048
Gender Male
Enumeration Date 07/27/2011
Last Updated 07/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
8776 117TH ST
RICHMOND HILL NY, 11418-2428, US
Phone (917) 545-1566
Fax
Business Location
8776 117TH ST
RICHMOND HILL NY, 11418-2428, US
Phone (917) 545-1566
Fax
Toxanomy
Taxonomy Code 320700000X
License State New York
License Number 006152-1
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According to our database, Brian Perez P.T.A NPI is 1205114048, taxonomy code is 320700000X and license number is 006152-1, license state is located at New York. Brian Perez P.T.A physically located at 8776 117th St, Richmond Hill NY, 11418-2428. NPI Number Brian Perez P.T.A has the Individual type.

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1205114048 NPI number is provided on an as is basis without warranty of any kind. 1205114048 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Perez P.T.A are for informational purposes only.