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SUSAN PEREZ LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1790178739
Individual Registrant: SUSAN PEREZ LPN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3530 91ST ST FL 2 JACKSON HTS, NY 11372-5857 US
Tel: 347-791-7361 Fax: --
Tel: 347-791-7361 Fax: --
Contact information for business:
3530 91ST ST FL 2 JACKSON HTS, NY 11372-5857 US
Tel: 347-791-7361 Fax: --
Tel: 347-791-7361 Fax: --
Registration Information:
NPI: 1790178739
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | NY | 321419-1 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
