Healthcare Provider Details

I. General information

NPI: 1609308188
Provider Name (Legal Business Name): DEAN COSMO PERFETTI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 E MAIN ST STE 3
MOUNT KISCO NY
10549-3424
US

IV. Provider business mailing address

657 E MAIN ST STE 3
MOUNT KISCO NY
10549-3424
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-6240
  • Fax:
Mailing address:
  • Phone: 914-594-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberT4033
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number75555
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number321370
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: