Organization
CONTEMPORARY TMS OF MANHASSETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQUE PERERA M.D (OWNER)
(203) 482-0667
Entity
Organization
Contact information
Practice address
1165 NORTHERN BLVD, SUITE 200, MANHASSET, NY 11030-3039
(203) 482-0667
Mailing address
81 HOLLY HILL LN, 2ND FLOOR, GREENWICH, CT 06830-6071
(203) 482-0667
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
039232
NY
Other
Enumeration date
12/14/2015
Last updated
05/13/2016
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