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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STEPHANIE A PEREZ, PhD
73 PORT WATSON ST
CORTLAND, NY13045-3027
 Phone: 607-753-6511
 Fax: 607-753-1648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STEPHANIE A PEREZ · (Female)

NPI # 1003028341
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/06/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 012191
  • NY Other 040728-000-060 FIDELIS
  • NY Other 688-5837 VALUE OPTIONS GHI PIN NUM
  • NY Other 246-683 VALUE OPTIONS NUMBER
  • NY Other S12191-3 WCB AUTH #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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