Provider Demographics
NPI:1518512060
Name:PEREZ, JASMINE PRICILA (JP)
Entity Type:Individual
Prefix:MISS
First Name:JASMINE
Middle Name:PRICILA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:JP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WALLER AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4727
Mailing Address - Country:US
Mailing Address - Phone:914-960-6992
Mailing Address - Fax:
Practice Address - Street 1:26 WALLER AVE
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4727
Practice Address - Country:US
Practice Address - Phone:914-960-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator