National Provider Identifier

Phil Perez

Phil Perez is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 337-3706.

NPI 1104019991Buffalo, NYSpecialist

Profile Overview

NPI
1104019991
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 24, 2007
Last Updated
August 24, 2007

Practice Location

  • 2107 Spruce Street
  • North Collins
  • Buffalo, NY 14111

Phone: (716) 337-3706

Mailing Address

  • 254 Franklin St
  • Lake Shore Behavorial Health
  • Buffalo, NY 14202-1954

Specialties

  • Specialist (174400000X)
Full Record
NPI
1104019991
Entity Type
Individual
Last Name
Perez
First Name
Phil
Name Prefix
Mr.
Mailing Street Address
254 Franklin St
Mailing Address Line 2
Lake Shore Behavorial Health
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1954
Mailing Country
US
Mailing Phone
(716) 842-0440
Mailing Fax
(716) 842-4069
Practice Street Address
2107 Spruce Street
Practice Address Line 2
North Collins
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14111
Practice Country
US
Practice Phone
(716) 337-3706
Practice Fax
(716) 337-2723
Enumeration Date
August 24, 2007
Last Updated
August 24, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)