MEDICARE: DENNIS PERENYI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	169227	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154321529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS PERENYI MD

Provider Business Mailing Address
First Line	:	346 GRAND AVE
Second Line	:
City	:	JOHNSON CITY
State	:	NY
Zip	:	13790-2558
Country	:	US
Telephone Number	:	607-797-4496
Fax Number	:	607-729-5995

Provider Business Practice Location Address
First Line	:	4417 VESTAL PKWY E
Second Line	:	OB/GYN
City	:	VESTAL
State	:	NY
Zip	:	13850-3556
Country	:	US
Telephone Number	:	607-797-4496
Fax Number	:	607-729-5995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	01/04/2013

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Directions to “ DENNIS PERENYI MD” Practice Location

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