Provider Demographics
NPI:1891173183
Name:PEREZ, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9709 32ND AVE
Mailing Address - Street 2:2ND FLR
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1853
Mailing Address - Country:US
Mailing Address - Phone:718-998-1415
Mailing Address - Fax:718-339-0834
Practice Address - Street 1:9709 32ND AVE
Practice Address - Street 2:2ND FLR
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1853
Practice Address - Country:US
Practice Address - Phone:718-998-1415
Practice Address - Fax:718-339-0834
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator