Organization
ELLA PERRY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSLYN L PERRY MD (SOLE PROPRIETER)
(716) 882-1200
Entity
Organization
Contact information
Practice address
191 NORTH ST, SUITE 7, BUFFALO, NY 14201-1510
(716) 882-1200
(716) 882-1220
Mailing address
191 NORTH ST, SUITE 7, BUFFALO, NY 14201-1510
(716) 882-1200
(716) 882-1220
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
210359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346564739
GROUP/ORGANIZATIONAL NPI
NY
Enumeration date
03/15/2010
Last updated
04/29/2010
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