Provider Demographics
NPI:1366657108
Name:PEREZ-MILLER, ANISHA (MSED)
Entity Type:Individual
Prefix:
First Name:ANISHA
Middle Name:
Last Name:PEREZ-MILLER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 W 21ST ST FL 8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-6912
Mailing Address - Country:US
Mailing Address - Phone:212-366-4459
Mailing Address - Fax:
Practice Address - Street 1:12 W 21ST ST
Practice Address - Street 2:FLOOR 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-6902
Practice Address - Country:US
Practice Address - Phone:212-366-4459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator