Gomez Pereira, Andrea

Gomez Pereira, Andrea is an individual health care provider with primary practice located at 410 Hallock Ave , Port Jefferson Station NY 11776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gomez Pereira, Andrea can be contacted via phone (631) 642-1100.

Contact Information

Primary practice address
410 Hallock Ave Port Jefferson Station NY 11776
Phone: (631) 642-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022423-1 New York

Profile Details

NPI number 1306325477
LBN Legal business name Gomez Pereira, Andrea
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2018
Last updated Nov 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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