Individual
DR. BRADFORD BENTON PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 CENTRAL AVENUE, SUITE 214, SCARSDALE, NY 10583-1102
(914) 472-2167
(914) 472-2097
Mailing address
455 CENTRAL AVENUE, SUITE 214, SCARSDALE, NY 10583-1102
(914) 472-2167
(914) 472-2097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
162803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01064020
—
NY
01
—
109817
MHN
NY
01
—
147571
VALUE OPTIONS
NY
01
—
P558687
OXFORD
NY
Enumeration date
08/18/2006
Last updated
07/08/2007
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