Provider Demographics
NPI:1033257282
Name:PERRY, ERIC M (LAC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:PERRY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1165 NORTHERN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3048
Mailing Address - Country:US
Mailing Address - Phone:516-627-4433
Mailing Address - Fax:516-627-0552
Practice Address - Street 1:1165 NORTHERN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-3048
Practice Address - Country:US
Practice Address - Phone:516-627-4433
Practice Address - Fax:516-627-0552
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY002695171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist