Individual ProviderEdwin PerezPharmacistPharmacy Service ProvidersPractice Address629 W 185th St, New York, NY 10033-3102(212) 927-0999PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Perez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1649312794Provider TypeIndividualFull NamePerez, EdwinGenderMaleSole ProprietorYesEnumeration Date2/13/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address629 W 185th St, New York, NY 10033-3102Phone(212) 927-0999Fax(212) 795-0470Mailing LocationMailing Address629 W 185th St, New York, NY 10033-3102Phone(212) 927-0999Fax(212) 795-0470Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense027346New YorkProvider IdentifiersIDDescriptionIssuerID02682915DescriptionMedicaidIssuerUnlistedNew York