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Individual

YARON PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
462 GRIDER ST, BUFFALO, NY 14215
(716) 898-3333
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
065046
GA
208600000X
Surgery Physician
236943
MA
208600000X
Surgery Physician
Primary
299706
NY
208600000X
Surgery Physician
35.122321
OH
2086S0127X
Trauma Surgery Physician
236943
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
065046
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
236943
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
299706
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.122321
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003105060A
GA
05
003105060B
GA
05
003105060C
GA
05
003105060D
GA
05
003105060E
GA
05
003105060F
GA
05
0091679
OH
01
01384088
AMERIGROUP
GA
01
35.122321
LICENSE
OH
01
569151
WELLCARE
GA
05
GA1109
SC
01
P00903050
RAILROAD MEDICARE
GA
01
P01105849
RAILROAD MEDICARE
GA
Enumeration date
08/20/2008
Last updated
12/05/2019
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