Provider Demographics
NPI:1336218452
Name:PERRY, YLFA Y (MD)
Entity Type:Individual
Prefix:
First Name:YLFA
Middle Name:Y
Last Name:PERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-370-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA124483OtherFALLON COMMUNITY HEALTH PLAN
MA230418OtherCONNECTICARE INC. OF MA
MA495776OtherTUFTS HEALTH PLAN
MA0259875OtherCIGNA HEALTHCARE
MA9591193OtherAETNA
MAAA84474OtherHARVARD PILGRIM HEALTHCARE
MAJ41286OtherBCBSMA
MA000036501Medicare PIN
MA495776OtherTUFTS HEALTH PLAN