Mary Katherine Perrello in Penfield - Pediatrics

Mary Katherine Perrello - NPI 1649295916

Mary Katherine Perrello is a Pediatrics in Penfield, New York. Mary Katherine Perrello practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary Katherine Perrello is 1649295916. The last update date is 2007-07-08.

Mary Katherine Perrello's current location address is 21 Willow Pond Way, Penfield, New York. You can contact this provider via phone number 5853770840 and fax number 5853779715. The mailing address for Mary Katherine Perrello is 21 Willow Pond Way, Penfield, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Katherine Perrello
Address 21 Willow Pond Way, Penfield, New York
Phone Number 5853770840
Fax Number 5853779715
Sole Proprietor Y
Credentials P.N.P.

NPI Number Detail

NPI Number 1649295916
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21 Willow Pond Way
City Penfield
State New York (NY)
Post Code 145262687
Phone Number 5853770840
Fax Number 5853779715

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 163Wp0200X
Licence No F380707-1
Definition:
A registered nurse who cares for infant, child, and adolescent patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
019179DL NY PREFERRED CARE

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FAQs about Mary Katherine Perrello

What is the unique 10-digit identifier code issued to Mary Katherine Perrello by the Centers for Medicare & Medicaid Services?

The Mary Katherine Perrello has been assigned the NPI (National Provider Identifier) 1649295916 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mary Katherine Perrello?

The Mary Katherine Perrello is situated at 21 Willow Pond Way, in the city of Penfield, state of NY, with the zip code 145262687.

What is the area of specialization for Mary Katherine Perrello, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Katherine Perrello is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 163Wp0200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1649295916 to Mary Katherine Perrello?

The Centers for Medicare & Medicaid Services assigned the 1649295916 to Mary Katherine Perrello on 2006-07-13.

As of what date were the Mary Katherine Perrello's details last updated?

The information pertaining to the Mary Katherine Perrello, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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