Provider Demographics
NPI:1235438961
Name:PEREZ, YARA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:YARA
Middle Name:ELIZABETH
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 MIDLAND AVE APT 4S
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6477
Mailing Address - Country:US
Mailing Address - Phone:917-455-0096
Mailing Address - Fax:
Practice Address - Street 1:1010 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1044
Practice Address - Country:US
Practice Address - Phone:917-455-0096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271231-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics