Perera, Thomas B

Perera, Thomas B is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Perera, Thomas B can be contacted via phone (718) 920-6626.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 920-6626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 199330-1 New York

Profile Details

NPI number 1750376919
LBN Legal business name Perera, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750376919 NPPES
New York MEDICAID 02334307

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