Provider Demographics
NPI:1184641037
Name:MARGARITA PEREZ CHERON MD
Entity Type:Organization
Organization Name:MARGARITA PEREZ CHERON MD
Other - Org Name:MOHAWK VALLEY ENDOCRINOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ CHERON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-797-3799
Mailing Address - Street 1:2305 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-6107
Mailing Address - Country:US
Mailing Address - Phone:315-797-3799
Mailing Address - Fax:315-734-1912
Practice Address - Street 1:2305 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-6107
Practice Address - Country:US
Practice Address - Phone:315-797-3799
Practice Address - Fax:315-734-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149694207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03079494Medicaid
NYAA1455Medicare PIN