Provider Demographics
NPI:1568457182
Name:PERFETTO, CARLO M (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLO
Middle Name:M
Last Name:PERFETTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:500 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1573
Mailing Address - Country:US
Mailing Address - Phone:716-677-2273
Mailing Address - Fax:716-677-2477
Practice Address - Street 1:500 STERLING DR
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1573
Practice Address - Country:US
Practice Address - Phone:716-677-2273
Practice Address - Fax:716-677-2477
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1611227208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005104327OtherCOMMUNITY BLUE
NYMDB035OtherPREFERRED CARE
NY161511795OtherUNITED HEALTHCARE EMPIRE
NY340013074OtherRAILROAD MEDICARE
NY01088453Medicaid
NY1909186OtherINDEPENDENT HEALTH
NY0445OtherBLUE CROSS ROCHESTER
NY161511795OtherNORTH AMERICAN
NY161511795OtherHUMANA
NY00010136501OtherUNIVERA
NYP010161122OtherBLUE CHOICE
NY161511795OtherNOVA
NY9525327OtherGHI
NYB71022Medicare UPIN
NY14360DMedicare ID - Type Unspecified