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1104019991
PHIL PEREZ
BUFFALO, NY
NPI
1104019991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
Mr. PHIL PEREZ
2107 SPRUCE STREET NORTH COLLINS
BUFFALO, NY 14111
Phone number: 716-337-3706
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Mailing Address
Mr. PHIL PEREZ
254 FRANKLIN ST LAKE SHORE BEHAVORIAL HEALTH
BUFFALO, NY 14202-1954
Phone number: 716-842-0440
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