Perez, Tanya Monique

Perez, Tanya Monique is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum NY 13602-5438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Perez, Tanya Monique can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac/Credentials Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1881672350
LBN Legal business name Perez, Tanya Monique
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 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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