Provider Demographics
NPI:1538383930
Name:PERRY, RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
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Mailing Address - Street 1:55 W 74TH ST
Mailing Address - Street 2:NEW YORK
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-2429
Mailing Address - Country:US
Mailing Address - Phone:212-595-0116
Mailing Address - Fax:212-873-3607
Practice Address - Street 1:55 W 74TH ST
Practice Address - Street 2:NEW YORK
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2429
Practice Address - Country:US
Practice Address - Phone:212-595-0116
Practice Address - Fax:212-873-3607
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1139892084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry