Individual provider · Type 1 NPI

Tanya Monique Perez, PA

Medical Physician Assistant · Fort Drum, NY

NPI number 1881672350 Active

Practice location

11050 Mount Belvedere Blvd, Usa Meddac/credentials
Fort Drum, NY 13602-5438

Fax (315) 772-9498

Mailing address

436 Broadway Ave E
Watertown, NY 13601-3828

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

156 other providers at this address

Other medical physician assistant providers in Fort Drum

See all in Fort Drum →

About NPI 1881672350

Tanya Monique Perez, PA's National Provider Identifier is 1881672350, issued on Jan 5, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 13, 2026.