Provider Demographics
NPI:1609308188
Name:PERFETTI, DEAN COSMO (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:COSMO
Last Name:PERFETTI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 E MAIN ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3424
Mailing Address - Country:US
Mailing Address - Phone:914-594-6240
Mailing Address - Fax:
Practice Address - Street 1:657 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3424
Practice Address - Country:US
Practice Address - Phone:914-594-6240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT4033207X00000X
CT75555207XS0117X
390200000X
NY321370207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program