Perez, Jeannine Diane

Perez, Jeannine Diane is an sole proprietor health care provider with primary practice located at 171 Forest St , Oceanside NY 11572-4208. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Perez, Jeannine Diane can be contacted via phone (516) 665-2163.

Contact Information

Primary practice address
171 Forest St Oceanside NY 11572-4208
Phone: (516) 665-2163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 808530 New York
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 002597 New York

Profile Details

NPI number 1982098620
LBN Legal business name Perez, Jeannine Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2015
Last updated Jun 7th, 2024 - about 2 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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