Provider Demographics
NPI:1750036398
Name:SANCHEZ PEREZ, SONIA J
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:J
Last Name:SANCHEZ PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:J
Other - Last Name:ALCANTARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:57 MOZART ST
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1331
Mailing Address - Country:US
Mailing Address - Phone:201-741-2647
Mailing Address - Fax:
Practice Address - Street 1:57 MOZART ST
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-1331
Practice Address - Country:US
Practice Address - Phone:201-741-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2018-000357101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)