- Practice location
- 34 Stephens RD, Tappan, NY 10983-2309
- Phone
- 646-942-4941
- Fax
- —
- Last updated
- December 6, 2022
Ida Lissete Perez is a Specialist based in Tappan, NY. Ida Lissete Perez practices in Tappan, NY and has the professional credentials of MSED SWD. The NPI Number for Ida Lissete Perez is 1740668714. The current practice location address for Ida Lissete Perez is 34 Stephens RD, Tappan, NY 10983-2309 and can be reached out via phone at 646-942-4941.
Provider Profile Details
- NPI Number
- 1740668714
- Provider Name
- Ida Lissete Perez
- Credential
- MSED SWD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 34 Stephens RD, Tappan, NY 10983-2309
- Phone Number
- 646-942-4941
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Other Names
- Ida Lissete Creque (Former Name)
- Provider Enumeration Date
- May 11, 2015
- Last Update Date
- December 6, 2022
- Certification Date
- December 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34 Stephens RD
Tappan, NY 10983-2309 - City
- Tappan
- State
- New York
- Zip
- 10983-2309
- Phone Number
- 646-942-4941
Provider Business Mailing Address Details
- Address
- 34 Stephens RD
Tappan, NY 10983-2309 - City
- Tappan
- State
- NY
- Zip
- 10983-2309
- Phone Number
- 646-942-4941
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Tappan, NY
View all Specialists in Tappan →Frequently Asked Questions
What is the NPI number of Mrs. Ida L Perez, MSED SWD?
The NPI number of Mrs. Ida L Perez, MSED SWD is 1740668714. It was assigned on May 11, 2015 and is currently active in the NPPES registry.
What is the specialty of Mrs. Ida L Perez, MSED SWD?
Mrs. Ida L Perez, MSED SWD is registered under the primary taxonomy Specialist (code 174400000X).
Where does Mrs. Ida L Perez, MSED SWD practice?
The practice location is 34 Stephens RD, Tappan, NY 10983-2309. The office can be reached at 646-942-4941 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740668714 directly on the NPPES registry website.