Provider Demographics
NPI:1285753640
Name:PEREZ-MARTINEZ, DAVID M (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:PEREZ-MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:875 AVENUE OF THE AMERICAS
Mailing Address - Street 2:SUITE 2401
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3507
Mailing Address - Country:US
Mailing Address - Phone:212-594-6405
Mailing Address - Fax:212-594-6387
Practice Address - Street 1:875 AVENUE OF THE AMERICAS
Practice Address - Street 2:SUITE 2401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3507
Practice Address - Country:US
Practice Address - Phone:212-594-6405
Practice Address - Fax:212-594-6387
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1986682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY21185OtherMHN
NY198668OtherHIP
NYP615907OtherOXFORD
NYP615907OtherOXFORD