Individual
PERRY INTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 572-3945
Mailing address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 572-0123
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
303812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
482055-1
LICENSE#
—
Enumeration date
10/11/2006
Last updated
03/20/2015
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