EDWARD THEODORE PEREZ


Address: 301 E Main St, Bay Shore, NY 11706-8458
Phone: 6319683970

EDWARD THEODORE PEREZ (NPI# 1922627934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922627934
Entity Type Individual
Full Name EDWARD THEODORE PEREZ
Credential MD
Practice Address 301 E Main St
Bay Shore
NY 11706-8458
Mailing Address 21743 Kingsbury Ave
Oakland Gardens
NY 11364-3534
Practice Telephone 6319683970
Mailing Telephone 3479545874
Enumeration Date 2020-04-09
Last Update Date 2020-04-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers EDWARD PEREZ

NPI Name Taxonomy Address Enumeration
1992280358 Edward A Perez Chiropractor 510 Plaza Constancia, Suite 104, Hormigueros, PR 00660 2018-10-01
1174763270 Edward Perez Occupational Therapist 25 Belmont Pl, Staten Island, NY 10301-1709 2009-03-02
1881755650 Edward Pena Perez Dermatology 1999 Medical Pkwy Ste A, San Marcos, TX 78666-7579 2006-12-13
1457348153 Edward A Perez Orthopaedic Surgery 1601 S Andrews Ave Fl 2, Ft Lauderdale, FL 33316 2005-09-29
1558905935 Edward Gregory Perez Counselor 3103 West Ave, San Antonio, TX 78213-4535 2019-10-29
1881040012 Edward Perez Nurse Practitioner 180 Fort Washington Ave, Hp 6 Floor, New York, NY 10032-3722 2016-05-06
1629310859 Edward Perez Behavioral Analyst 3225 Mcleod Dr Ste 100, Las Vegas, NV 89121-2257 2013-03-26
1336386556 Edward Perez Pathology 504 Medical Center Blvd, Conroe, TX 77304-2808 2009-01-09

Office Location

Street Address 301 E MAIN ST
City BAY SHORE
State NY
Zip Code 11706-8458

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467053959 Ebne Rafi Pharmacist 301 E Main St, Bay Shore, NY 11706-8408 2020-11-03
1154928711 Brittany Lee Mulligan Anesthesiology 301 E Main St, Bay Shore, NY 11706-8408 2020-10-07
1093322786 Aliesha Wahab Pharmacist 301 E Main St, Bay Shore, NY 11706-8458 2020-09-26
1316553795 Erica Anne Schott Pharmacist 301 E Main St, Bay Shore, NY 11706-8408 2020-09-21
1780296913 Chelsea Jensen Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-08-19
1669081865 John William Mcdonnell Jr. Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-07-24
1205445566 Michele Lisa Guelfi Local Education Agency (LEA) 301 E Main St, Bay Shore, NY 11706-8458 2020-07-23
1740899921 Colleen Stubbs Nurse Practitioner 301 E Main St, Bay Shore, NY 11706-8458 2020-07-23
1063030757 Rigoberto Ventura Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-07-08
1780200709 Valerie Brooke Matedero Physician Assistant 301 E Main St, Bay Shore, NY 11706-8408 2020-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598394173 Erin Marie Barlow Student in an Organized Health Care Education/Training Program Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 2020-04-06
1003460890 Bay Shore Brightwaters Rescue Ambulance Inc. Ambulance 911 Aletta Place, Bay Shore, NY 11706 2019-07-30
1861980872 Raffy Gutman Student in an Organized Health Care Education/Training Program Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 2018-04-25
1609371004 Sengal Kelit Alazar Student in an Organized Health Care Education/Training Program South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 2018-03-27
1780198671 Stefany Gabriela Armijos Social Worker 144 Fifth Ave, Bay Shore, NY 11706 2017-11-30
1417476771 Jazmin Unda Jimenez Licensed Practical Nurse 236 Adams Ave, Bay Shore, NY 11706 2017-09-18
1013436989 People Pushers LLC Non-emergency Medical Transport (VAN) 50 Corbin Ave, Suite D, Bay Shore, NY 11706 2017-09-12
1871011585 Life Acupuncture & Massage Therapy P.C. Acupuncturist 387 East Main Street Suite 104, Bayshore, NY 11706 2017-09-01
1558881458 Wilda Novembre Licensed Practical Nurse 1742 North Thompson Drive, Bayshore, NY 11706 2017-06-21
1194184085 Georgette Prawl Nurse's Aide 54 1st Avenue, Bayshore, NY 11706 2016-02-19
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598394173 Erin Marie Barlow Student in an Organized Health Care Education/Training Program Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 2020-04-06
1902447915 Nicholas Kelly Student in an Organized Health Care Education/Training Program 1089 Manor Ln, Bay Shore, NY 11706-6224 2019-10-01
1861980872 Raffy Gutman Student in an Organized Health Care Education/Training Program Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 2018-04-25
1609371004 Sengal Kelit Alazar Student in an Organized Health Care Education/Training Program South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 2018-03-27
1053832949 Harneet Bedi Student in an Organized Health Care Education/Training Program 28 Penataquit Ave, Bay Shore, NY 11706-8009 2017-06-29
1720509623 Gurpal Singh Dhanjal Student in an Organized Health Care Education/Training Program 2061 Union Blvd Apt 1d, Bay Shore, NY 11706-8036 2017-06-29
1346794252 Rochelle Smith Student in an Organized Health Care Education/Training Program 237 Vermont Ave, Bay Shore, NY 11706-2514 2016-08-09
1487016051 Andy Moore Student in an Organized Health Care Education/Training Program 16 Tern Ct, Bay Shore, NY 11706-7529 2016-03-23
1891040572 Tamas Ungar Student in an Organized Health Care Education/Training Program 29 Montgomery Ave, Bay Shore, NY 11706-8004 2012-07-18
1568743300 Jeremy Lieber Kass Student in an Organized Health Care Education/Training Program 29 N Montgomery Ave, Bay Shore, NY 11706-8004 2011-09-07
Find all providers in BAY SHORE

Competitor

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City BAY SHORE
Zip Code 11706

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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