Provider Demographics
NPI:1053468793
Name:PERRATTO AND CHIMENTI LLP
Entity Type:Organization
Organization Name:PERRATTO AND CHIMENTI LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:R C
Authorized Official - Last Name:PERRATTO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:631-382-2495
Mailing Address - Street 1:285 MIDDLE COUNTRY ROAD
Mailing Address - Street 2:SUITE LL3
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-382-2495
Mailing Address - Fax:631-382-5076
Practice Address - Street 1:285 MIDDLE COUNTRY ROAD
Practice Address - Street 2:SUITE LL3
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-382-2495
Practice Address - Fax:631-382-5076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416301122300000X
NY0411161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty