Provider Demographics
NPI:1568626844
Name:VANESSA PERO, M.D. P,C.
Entity Type:Organization
Organization Name:VANESSA PERO, M.D. P,C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:PERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-872-7001
Mailing Address - Street 1:875 SUNRISE HIGHWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563
Mailing Address - Country:US
Mailing Address - Phone:516-872-7001
Mailing Address - Fax:516-872-7015
Practice Address - Street 1:875 SUNRISE HIGHWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563
Practice Address - Country:US
Practice Address - Phone:516-872-7001
Practice Address - Fax:516-872-7015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory