Provider Demographics
NPI:1619121183
Name:PEREZ-SANCHEZ, AYMEE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:AYMEE
Middle Name:
Last Name:PEREZ-SANCHEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-2628
Mailing Address - Country:US
Mailing Address - Phone:646-523-4692
Mailing Address - Fax:845-354-8796
Practice Address - Street 1:24 LILLIAN ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-2628
Practice Address - Country:US
Practice Address - Phone:646-523-4692
Practice Address - Fax:845-354-8796
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0576501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical