Provider Demographics
NPI:1811199342
Name:PEREZ, MARGARITA DE LOS ANGELES (MD)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:DE LOS ANGELES
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6141 173RD ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2029
Mailing Address - Country:US
Mailing Address - Phone:718-762-3357
Mailing Address - Fax:718-458-2409
Practice Address - Street 1:6141 173RD ST
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2029
Practice Address - Country:US
Practice Address - Phone:718-762-3357
Practice Address - Fax:718-458-2409
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2135242084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry