Organization
KIRSHENBAUM PERUSO KAUTMAN LLP
Active
Other names
Carleton Ave Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH PERUSO DDS (PARTNER)
(631) 348-2500
Entity
Organization
Contact information
Practice address
109 CARLETON AVE, CENTRAL ISLIP, NY 11722
(631) 348-2500
(631) 234-4324
Mailing address
109 CARLETON AVE, CENTRAL ISLIP, NY 11722
(631) 348-2500
(631) 234-4324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01808433
—
NY
Enumeration date
10/20/2006
Last updated
08/22/2020
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