Perez, Angelica Maria

Perez, Angelica Maria is an sole proprietor health care provider with primary practice located at 99 Main St , Nyack NY 10960-3109. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Perez, Angelica Maria can be contacted via phone (917) 817-2869.

Contact Information

Primary practice address
99 Main St Nyack NY 10960-3109
Phone: (917) 817-2869
Fax: (646) 219-8905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014014-1 New York

Profile Details

NPI number 1760540520
LBN Legal business name Perez, Angelica Maria
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Sep 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760540520 NPPES
New York MEDICAID 02316127

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