Perez, German

Perez, German is an individual health care provider with primary practice located at 16010 Crossbay Blvd Rite Aid, Howard Beach NY 11414-3423. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Perez, German can be contacted via phone (718) 845-1066.

Contact Information

Primary practice address
16010 Crossbay Blvd Rite Aid Howard Beach NY 11414-3423
Fax: (718) 845-1354
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051287 New York

Profile Details

NPI number 1063693505
LBN Legal business name Perez, German
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 2007 - about 17 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 1063693505 NPPES
New York MEDICAID 01440826

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