Individual
LUCILLE PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1ST AVENUE AT 16TH ST, NEW YORK, NY 10003
(212) 420-4637
Mailing address
PO BOX 32889, HARTFORD, CT 06150-2889
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
107428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547957
—
NY
Enumeration date
11/14/2005
Last updated
11/18/2014
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