Individual
DR. THOMAS B PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6626
Mailing address
624 FORTHILL RD, SCARSDALE, NY 10583-2445
(718) 918-2051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
199330-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02334307
—
NY
Enumeration date
09/14/2005
Last updated
07/08/2007
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