Organization
PERLA TATE PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERLA TATE M.D. (OWNER/DIRECTOR)
(516) 377-1023
Entity
Organization
Contact information
Practice address
80 GUY LOMBARDO AVE, FREEPORT, NY 11520-3715
(516) 377-1023
Mailing address
80 GUY LOMBARDO AVE, FREEPORT, NY 11520-3715
(516) 377-1023
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
148802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68278
—
NY
Enumeration date
06/10/2006
Last updated
08/22/2020
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