Provider Demographics
NPI:1184603375
Name:PERRI, MARIA A (DC,DACRB)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:A
Last Name:PERRI
Suffix:
Gender:F
Credentials:DC,DACRB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 ROUTE 32
Mailing Address - Street 2:P.O. BOX 1012
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-3305
Mailing Address - Country:US
Mailing Address - Phone:845-928-2225
Mailing Address - Fax:845-928-1080
Practice Address - Street 1:489 ROUTE 32
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-3305
Practice Address - Country:US
Practice Address - Phone:845-928-2225
Practice Address - Fax:845-928-1080
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4177 004177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10057598OtherCDPHP
NY4603559OtherAETNA/US HEALTHCARE
PM965538OtherGHI
NYP680302OtherOXFORD
NM603488OtherACN
NYC-04177-4OtherWORKER'S COMP
NYP-61323206OtherMULTIPLAN
PM965538OtherGHI
NY4603559OtherAETNA/US HEALTHCARE