NPI 1205114048

Brian Perez, PTA

Practitioner Physical Disabilities Residential Treatment Facility Richmond Hill, NY

Practice location

Address: 8776 117th St, Richmond Hill, NY 11418-2428
Phone: (917) 545-1566

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 006152-1 (NY)

Other Residential Treatment Facility, Physical Disabilities providers in New York →

Registry record

NPI: 1205114048
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2011
Record last updated: 27 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.