Healthcare Provider Details

I. General information

NPI: 1750268041
Provider Name (Legal Business Name): KAYLA LYNSEY PERUZZI PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 FOURTH ST
SCHENECTADY NY
12306-5017
US

IV. Provider business mailing address

1645 COLUMBIA TPKE
CASTLETON NY
12033-9535
US

V. Phone/Fax

Practice location:
  • Phone: 518-956-0475
  • Fax:
Mailing address:
  • Phone: 518-477-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073003
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: