Provider Demographics
NPI:1760748305
Name:PEREZ, ENRIQUE RAMON (MBA)
Entity Type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:RAMON
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MBA
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL # 1189
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-241-2490
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-2258
Practice Address - Fax:212-831-3700
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2022-05-25
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Provider Licenses
StateLicense IDTaxonomies
NY277766207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology