Individual provider · Type 1 NPI

Lance William Perez, PA-C

Surgical Physician Assistant · East Setauket, NY

NPI number 1427484971 Active

Practice location

6 Technology Dr Ste 100
East Setauket, NY 11733-4079

Call (631) 689-6698 Map

Fax (631) 751-5548

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X017225 (NY)
Surgical Physician Assistant Primary 363AS0400X017225 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1427484971

Lance William Perez, PA-C's National Provider Identifier is 1427484971, issued on Sep 16, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Setauket, NY. The record was last updated on May 20, 2019.