Perez, Jose M

Perez, Jose M is an individual health care provider with primary practice located at 270 Park Ave , Huntington NY 11743-2787. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Perez, Jose M can be contacted via phone (631) 351-2000.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743-2787
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 091062 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 091062 New York

Profile Details

NPI number 1902867369
LBN Legal business name Perez, Jose M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 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 1902867369 NPPES
New York MEDICAID 00144918

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