Provider Demographics
NPI:1841490745
Name:PERERA, SAUNI P (MD)
Entity type:Individual
Prefix:DR
First Name:SAUNI
Middle Name:P
Last Name:PERERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAUNI
Other - Middle Name:P
Other - Last Name:PERERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-0270
Mailing Address - Country:US
Mailing Address - Phone:631-264-2035
Mailing Address - Fax:
Practice Address - Street 1:YORK ANESTHESIOLOGISTS
Practice Address - Street 2:FIRST AVENUE AT 16TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY244444207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology