Individual
CHAR'LESE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 SENECA ST STE 2908, BUFFALO, NY 14203-2734
(716) 204-9422
Mailing address
125 GALLERIA DR UNIT 1523, CHEEKTOWAGA, NY 14225-7099
(716) 204-9422
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401902
NY
Other
Enumeration date
07/31/2015
Last updated
04/30/2022
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