Individual
CHARLES PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 242-5621
Mailing address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 242-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03093161
—
NY
01
—
240522
NEW YORK STATE
NY
Enumeration date
08/15/2007
Last updated
03/07/2023
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