MEDICARE: ANTHONY F. PERNA, M.D.

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1811183742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY F. PERNA, M.D.

Provider Business Mailing Address
First Line	:	41 DELAWARE RD
Second Line	:
City	:	KENMORE
State	:	NY
Zip	:	14217-2742
Country	:	US
Telephone Number	:	716-874-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 DELAWARE RD
Second Line	:
City	:	KENMORE
State	:	NY
Zip	:	14217-2742
Country	:	US
Telephone Number	:	716-874-4060
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ANTHONY F PERNA
Credential	:	M.D.
Telephone Number	:	716-874-4060

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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