Perrello, Mary Katherine
Perrello, Mary Katherine is an sole proprietor health care provider with primary practice located at 21 Willow Pond Way Ste 200, Penfield NY 14526-2687. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Perrello, Mary Katherine can be contacted via phone (585) 377-0840.Contact Information
Primary practice address
21 Willow Pond Way Ste 200
Penfield NY 14526-2687
Phone: (585) 377-0840
Fax: (585) 377-9715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | F380707-1 | New York |
Profile Details
| NPI number | 1649295916 |
|---|---|
| LBN Legal business name | Perrello, Mary Katherine |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649295916 | NPPES |
| New York | Other | 019179DL | PREFERRED CARE |
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