Perez, Rebecca

Perez, Rebecca is an individual health care provider with primary practice located at 108-19 Rockaway Blvd , Ozone Park NY 11420. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Perez, Rebecca can be contacted via phone (718) 845-2620.

Contact Information

Primary practice address
108-19 Rockaway Blvd Ozone Park NY 11420
Fax: (718) 845-9380
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00059166 New York

Profile Details

NPI number 1083825186
LBN Legal business name Perez, Rebecca
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
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 1083825186 NPPES
New York MEDICAID 00059166

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