Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006507 | NY |
NPI | 1043555352 |
---|---|
Provider Name | Rachel Perl |
First Address | Dix Hills, NY 11746-6933 |
Second Address | West Islip, NY 11795-4429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2012 |
Last Update Date | 20/05/2021 |