Individual
DR. BRIAN DAVID PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
969 MAIN ST, SUITE H, FISHKILL, NY 12524-1789
(845) 896-6700
(845) 896-6882
Mailing address
39 VIOLET DR, BEACON, NY 12508-2217
(845) 838-1908
(845) 896-6882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV4490
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000470752001
HEALTHNOW OF NY
NY
01
—
10038330
CDPHP
NY
01
—
410033095
PALMETTO GBA-RR MEDICARE
NY
01
—
4C4526
HEALTHNET INS. NY
NY
01
—
596948
AETNA INSURANCE
NY
01
—
597134
MVP HEALTH PLAN
NY
01
—
678489
UNITED HEALTHCARE
NY
01
—
C31231
EMPIRE BC/BS
NY
01
—
P768273
OXFORD HEALTH INS.
NY
Enumeration date
02/24/2006
Last updated
07/27/2012
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