MEDICARE: DR. ELIZABETH ROGERS PERKINS 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	2085R0202X	Diagnostic Radiology Physician	ME79426	FL

General Provider Information

NPI Number	:	1649261728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ROGERS PERKINS MD

Provider Business Mailing Address
First Line	:	345 WOODCLIFF DR STE 1A
Second Line	:
City	:	FAIRPORT
State	:	NY
Zip	:	14450-4210
Country	:	US
Telephone Number	:	212-772-3111
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 E 77TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-1817
Country	:	US
Telephone Number	:	212-772-3111
Fax Number	:

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

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	09/04/2025

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