MRS. DEANDRA PEREZ NPI 1669957510

NPI Information

NPI: 1669957510
Provider Name: MRS. DEANDRA PEREZ
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
16 BLAKLEY CT FL 1
TROY, NY
ZIP 12180
Phone: (956) 854-1067
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MRS. Deandra Perez is a specialist in Troy, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Deandra Perez NPI is 1669957510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16 BLAKLEY CT FL 1
TROY, NY
ZIP 12180-820
Phone: (956) 854-1067

The enumeration date for this NPI number is 9/26/2018 and was last updated on 9/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist			NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	174400000X	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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