Antonio, Perla
Antonio, Perla is an sole proprietor health care provider with primary practice located at 615 Riverside Blvd , Long Beach NY 11561-2121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Antonio, Perla can be contacted via phone (516) 571-7795.Contact Information
Primary practice address
615 Riverside Blvd
Long Beach NY 11561-2121
Phone: (516) 571-7795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 126400-1 | New York |
Profile Details
| NPI number | 1871556522 |
|---|---|
| LBN Legal business name | Antonio, Perla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871556522 | NPPES |
| New York | MEDICAID | 00373771 |
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