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Individual

DR. ROY STURAT PERLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
22508 LINDEN BLVD, CAMBRIA HTS, NY 11411-1727
(718) 528-8558
Mailing address
22508 LINDEN BLVD, CAMBRIA HTS, NY 11411-1727
(718) 528-8558

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NY003427
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090904
GHI
NY
01
DS599
OXFORD
NV
Enumeration date
05/24/2006
Last updated
11/13/2007
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