Healthcare Provider Details

I. General information

NPI: 1972338770
Provider Name (Legal Business Name): CHLOE MARIE PERRY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ENGLISH RD STE 2
ROCHESTER NY
14616-1600
US

IV. Provider business mailing address

23 LYNNHAVEN CT
ROCHESTER NY
14618-4215
US

V. Phone/Fax

Practice location:
  • Phone: 585-286-9595
  • Fax:
Mailing address:
  • Phone: 585-402-0656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number383703
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: