Healthcare Provider Details

I. General information

NPI: 1184603375
Provider Name (Legal Business Name): MARIA A PERRI D.C.,D.A.C.R.B.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 ROUTE 32
HIGHLAND MILLS NY
10930-3305
US

IV. Provider business mailing address

489 ROUTE 32 P.O. BOX 1012
HIGHLAND MILLS NY
10930-3305
US

V. Phone/Fax

Practice location:
  • Phone: 845-928-2225
  • Fax: 845-928-1080
Mailing address:
  • Phone: 845-928-2225
  • Fax: 845-928-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX4177 004177
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: