Individual
STEPHEN MICHAEL PERRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7559 263RD ST, CHILD PSYCHIATRY AMBULATORY CARE BUILDING, GLEN OAKS, NY 11004-1150
(718) 635-2204
Mailing address
7559 263RD ST, CHILD PSYCHIATRY AMBULATORY CARE BUILDING, GLEN OAKS, NY 11004-1150
(718) 635-2204
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
247565
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2007
Last updated
08/25/2011
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