Perello, Robert
Perello, Robert is an individual health care provider with primary practice located at 3332 Broadway , New York NY 10031-8732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Perello, Robert can be contacted via phone (212) 694-2000.Contact Information
Primary practice address
3332 Broadway
New York NY 10031-8732
Phone: (212) 694-2000
Fax: (212) 281-4296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME68149 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 185997 | New York |
Profile Details
| NPI number | 1780672717 |
|---|---|
| LBN Legal business name | Perello, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Dec 14th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780672717 | NPPES |
| New York | MEDICAID | 01277238 | |
| New York | MEDICAID | 378357000 |
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