Provider Demographics
NPI:1093124364
Name:FRANCIS S PERRONE MD PC
Entity Type:Organization
Organization Name:FRANCIS S PERRONE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN. MEDICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDESCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-288-3224
Mailing Address - Street 1:405 E 54TH ST APT 1J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5176
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 E 54TH ST APT 1J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5176
Practice Address - Country:US
Practice Address - Phone:212-288-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY74852207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300001410Medicare UPIN