Dr. Virmaris L Perdomo
Periodontist
1228 Wantagh Ave # 102
Wantagh
, New York 11793-2209
Dr. Virmaris L Perdomo
Periodontist
1228 Wantagh Ave # 102
Wantagh
, New York 11793-2209
(212) 203-3977
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Virmaris L Perdomo
- 347 W 55th St Apt 1 I
- New York, NY
- Zip : 10019-4554
- Phone : (212) 203-3977
Second Address
- Dr. Virmaris L Perdomo
- 1228 Wantagh Ave # 102
- Wantagh, NY
- Zip : 11793-2209
- Phone : (516) 679-7978
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 053986-1 | NY |
National Provider Identifier
| NPI | 1053568709 |
|---|---|
| Provider Name | Dr. Virmaris L Perdomo |
| First Address | New York, NY 10019-4554 |
| Second Address | Wantagh, NY 11793-2209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2008 |
| Last Update Date | 25/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.