Provider Demographics
NPI:1982707881
Name:PERRONE, GIL GERARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:GIL
Middle Name:GERARD
Last Name:PERRONE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 RIDGECREST E
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2011
Mailing Address - Country:US
Mailing Address - Phone:914-723-2361
Mailing Address - Fax:212-873-1310
Practice Address - Street 1:262 CENTRAL PARK W
Practice Address - Street 2:1G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3512
Practice Address - Country:US
Practice Address - Phone:212-496-6343
Practice Address - Fax:212-873-1310
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0333221223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD5D411Medicare ID - Type Unspecified