Provider Demographics
NPI:1770867673
Name:PERRY, ARTHUR III (PA-C)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:PERRY
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:428 E 72ND ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4635
Mailing Address - Country:US
Mailing Address - Phone:646-962-6500
Mailing Address - Fax:212-746-8961
Practice Address - Street 1:428 E 72ND ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4635
Practice Address - Country:US
Practice Address - Phone:646-962-6500
Practice Address - Fax:212-746-8961
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2017-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY015207363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant