Individual
MR. ARLENE PERICAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
942A ROUTE 146, CLIFTON PARK, NY 12065-3614
(518) 371-8000
(518) 371-5338
Mailing address
942A ROUTE 146, CLIFTON PARK, NY 12065-3614
(518) 371-8000
(518) 371-5338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330373-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02408120
—
NY
01
—
120118000008
FIDELIS
NY
01
—
671204
GHI-HMO
NY
Enumeration date
07/17/2006
Last updated
07/05/2012
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