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Individual

MARK F PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1185 SWEET HOME RD, AMHERST, NY 14226-1018
(716) 689-0040
(716) 568-2337
Mailing address
1185 SWEET HOME RD, ATTN: BETTY PICCILLO, AMHERST, NY 14226-1018
(716) 656-4250
(716) 656-4074

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
218400
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026169002
UNIVERA #
NY
01
000528079001
HEALTH NOW BCBS # WS
NY
01
000528079002
HEALTH NOW BCBS # MM
NY
01
040426003127
FIDELIS #
NY
01
1292784
IHA #
NY
01
159656DL
PREFERRED CARE #
NY
Enumeration date
04/28/2006
Last updated
02/02/2015
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