Provider Demographics
NPI:1659693042
Name:PERFITO, PETER ANGELO (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:ANGELO
Last Name:PERFITO
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:MR
Other - First Name:PETER
Other - Middle Name:ANGELO
Other - Last Name:PERFITO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:120 N HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1908
Mailing Address - Country:US
Mailing Address - Phone:914-980-5363
Mailing Address - Fax:
Practice Address - Street 1:120 N HAMPTON DR
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1908
Practice Address - Country:US
Practice Address - Phone:914-980-5363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048553-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist