Individual
CHARLES PERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5112 W TAFT RD STE 4J, LIVERPOOL, NY 13088-4868
(315) 701-2170
(315) 701-2186
Mailing address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
(315) 663-0514
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
158852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01341083
—
NY
Enumeration date
08/02/2005
Last updated
09/16/2019
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