Provider Demographics
NPI:1851364541
Name:PERENYI, TAMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMAS
Middle Name:
Last Name:PERENYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 W END AVE
Mailing Address - Street 2:SUITE 1-M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5702
Mailing Address - Country:US
Mailing Address - Phone:212-496-2600
Mailing Address - Fax:212-496-6959
Practice Address - Street 1:150 W END AVE
Practice Address - Street 2:SUITE 1-M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5702
Practice Address - Country:US
Practice Address - Phone:212-496-2600
Practice Address - Fax:212-496-6959
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203474207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02149342Medicaid
NYG33437Medicare UPIN
NY02149342Medicaid