Perez, Michael
Perez, Michael is an sole proprietor health care provider with primary practice located at 4915 Broadway Suite #1G, New York NY 10034-3119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Perez, Michael can be contacted via phone (212) 544-9513.Contact Information
Primary practice address
4915 Broadway Suite #1G
New York NY 10034-3119
Phone: (212) 544-9513
Fax: (212) 544-0402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 170543 | New York |
Profile Details
| NPI number | 1215906078 |
|---|---|
| LBN Legal business name | Perez, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215906078 | NPPES |
| New York | MEDICAID | 01196487 |
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