Individual
JOHN PERECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
989 W JERICHO TPKE, SMITHTOWN, NY 11787-3241
(631) 796-7971
Mailing address
16 PINECONE LN, COMMACK, NY 11725-4706
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
027146
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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