Individual
KRISTINE ELLEN PERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9768 LIBERTY DR, PAINTED POST, NY 14870-9094
(607) 937-4900
(607) 937-4940
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
252305
NY
207Q00000X
Family Medicine Physician
MD061954L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016290240002
—
PA
05
—
03104267
—
NY
Enumeration date
07/18/2006
Last updated
04/09/2021
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