Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 262284 | MA |
N | 207X00000X | Orthopaedic Surgeon | 274027-1 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 262284 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 274027-1 | NY |
NPI | 1174840771 |
---|---|
Provider Name | Donato Joseph Perretta |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Cortlandt Manor, NY 10567-4111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 25/10/2016 |