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Individual

ANDREW JARAD PERANTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
214 SULLIVAN ST, NEW YORK, NY 10012-1354
(210) 667-8367
Mailing address
214 SULLIVAN ST, NEW YORK, NY 10012-1354
(212) 385-3700

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
305963
NY

Other

Enumeration date
05/14/2014
Last updated
08/11/2020
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