Peruso, William Joseph
Peruso, William Joseph is an individual health care provider with primary practice located at 109 Carleton Ave , Central Islip NY 11722. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Peruso, William Joseph can be contacted via phone (631) 348-2500.Contact Information
Primary practice address
109 Carleton Ave
Central Islip NY 11722
Phone: (631) 348-2500
Fax: (631) 234-4324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 040180 | New York |
Profile Details
| NPI number | 1093897969 |
|---|---|
| LBN Legal business name | Peruso, William Joseph |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Apr 19th, 2013 - about 11 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 | 1093897969 | NPPES |
| New York | MEDICAID | 00972716 |
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