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Individual

DR. ANTOINETTE PERRIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C., L.AC.

Contact information

Practice address
19906 47TH AVE, FLUSHING, NY 11358-3952
(718) 224-0444
(718) 264-1118
Mailing address
19906 47TH AVE, FLUSHING, NY 11358-3952
(718) 224-0444
(718) 264-1118

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002812-1
NY
171100000X
Acupuncturist
001000-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4295277
AETNA ID NUMBER
NY
01
C002812-8B
NY WORKER COMP ID NUMBER
NY
01
P2527946
OXFORD/ACUPUNCTURE #
NY
01
P641219
OXFORD/CHIRO NUMBER
NY
01
X3041
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
10/30/2006
Last updated
10/05/2012
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