Individual
MARK PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 10TH ST, NIAGAR RADIOLOGISTS, PC, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
(716) 692-4342
Mailing address
NIAGARA RADIOLOGISTS P C, PO BOX 8000, DEPT. 194, BUFFALO, NY 14267-0001
(716) 692-2160
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
138835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00709691
—
NY
Enumeration date
03/21/2006
Last updated
08/29/2008
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