Individual
STEPHEN PERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6855 FRESH POND RD, RIDGEWOOD, NY 11385-5263
(718) 417-6565
(718) 381-8840
Mailing address
6855 FRESH POND RD, RIDGEWOOD, NY 11385-5263
(718) 417-6565
(718) 381-8840
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
151616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881702272
—
NY
Enumeration date
08/27/2006
Last updated
02/16/2010
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