Individual
FRANK B PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1431 HERTEL AVE, BUFFALO, NY 14216-2826
(716) 838-1131
(716) 838-1158
Mailing address
1431 HERTEL AVE, BUFFALO, NY 14216-2826
(716) 838-1131
(716) 838-1158
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NY002894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00668997
—
NY
01
—
161304145
TAX ID
NY
01
—
480003114
RAILROAD MEDICARE PROVIDER #
NY
01
—
BLUE CROSS
000508117001
NY
01
—
BLUE CROSS DME
000508117004
NY
01
—
C10060
RAILROAD MEDICARE GROUP #
NY
01
—
FIDELIS
040426000209
NY
01
—
GHI
6008087
NY
01
—
INDEPENDENT HEALTH
8990091
NY
01
—
UNITED HEALTHCARE
2700260
NY
01
—
UNIVERA
00010256201
NY
Enumeration date
11/21/2006
Last updated
04/15/2009
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