Provider Demographics
NPI:1003982463
Name:PERESS, RICHARD E (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:E
Last Name:PERESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 SO HIGHLAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562
Mailing Address - Country:US
Mailing Address - Phone:914-762-9300
Mailing Address - Fax:914-762-6622
Practice Address - Street 1:100 SO HIGHLAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562
Practice Address - Country:US
Practice Address - Phone:914-762-9300
Practice Address - Fax:914-762-6622
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY151750207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
01E802Medicare ID - Type Unspecified
A59933Medicare UPIN