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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093897969 NPPES
New York MEDICAID 00972716

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