Individual
DR. PERLA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1624 CENTRAL AVE, MEZZANINE, FAR ROCKAWAY, NY 11691-4002
(718) 327-7969
(718) 327-8463
Mailing address
1624 CENTRAL AVE, MEZZANINE, FAR ROCKAWAY, NY 11691-4002
(718) 327-7969
(718) 327-8463
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
06/02/2006
Last updated
08/30/2010
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