Provider Demographics
NPI:1114040565
Name:PEREZ, DANIEL E (RNFA)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:PEREZ
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 EAST BEVERWYCK PLACE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2303
Mailing Address - Country:US
Mailing Address - Phone:201-251-8718
Mailing Address - Fax:
Practice Address - Street 1:670 BEVERWYCK PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2303
Practice Address - Country:US
Practice Address - Phone:201-251-8718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO10993500163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant