Provider Demographics
NPI:1679881056
Name:PEREZ, DAPHNE (DPT)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:333 EARLE OVINGTON BLVD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3610
Mailing Address - Country:US
Mailing Address - Phone:516-321-2400
Mailing Address - Fax:516-321-2424
Practice Address - Street 1:1250 WATERS PL
Practice Address - Street 2:SUITE 1205
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2720
Practice Address - Country:US
Practice Address - Phone:347-810-7777
Practice Address - Fax:347-810-9192
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2014-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY033096-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ4WFH1Medicare PIN