MEDICARE: DR. GIL GERARD PERRONE D.D.S.

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	033322	NY

General Provider Information

NPI Number	:	1982707881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIL GERARD PERRONE D.D.S.

Provider Business Mailing Address
First Line	:	13 RIDGECREST E
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-2011
Country	:	US
Telephone Number	:	914-723-2361
Fax Number	:	212-873-1310

Provider Business Practice Location Address
First Line	:	262 CENTRAL PARK W
Second Line	:	1G
City	:	NEW YORK
State	:	NY
Zip	:	10024-3512
Country	:	US
Telephone Number	:	212-496-6343
Fax Number	:	212-873-1310

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	07/08/2007

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