Perez, Omayra

Perez, Omayra is an sole proprietor health care provider with primary practice located at 1527 Franklin Ave Suite Ll-8, Mineola NY 11501-4827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Perez, Omayra can be contacted via phone (516) 448-2101.

Contact Information

Primary practice address
1527 Franklin Ave Suite Ll-8 Mineola NY 11501-4827
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 069320-1 New York

Profile Details

NPI number 1568675809
LBN Legal business name Perez, Omayra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 13th, 2012 - about 12 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 1568675809 NPPES
New York Other 069320-1 LCSW

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