MARY KATHERINE PERRELLO (NPI# 1649295916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649295916 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE PERRELLO |
| Credential | P.N.P. |
| Practice Address |
21 Willow Pond Way Ste 200 Penfield NY 14526-2687 |
| Practice Telephone | 5853770840 |
| Practice Fax Number | 5853779715 |
| Mailing Telephone | 5853770840 |
| Mailing Fax Number | 5853779715 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
F380707-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 019179DL | 01 |
| Street Address |
21 WILLOW POND WAY STE 200 |
| City | PENFIELD |
| State | NY |
| Zip Code | 14526-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392159 | Jane Elizabeth Giarrizzo | Social Worker | 21 Willow Pond Way, Suite 202, Penfield, NY 14526-2687 | 2005-11-07 |
| 1194292417 | Nitza Ivette Rodriguez | Counselor | 21 Willow Pond Way, Penfield, NY 14526-2687 | 2018-10-24 |
| 1659887107 | Eileen Appleton | Social Worker | 21 Willow Pond Way, Penfield, NY 14526-2687 | 2017-12-20 |
| 1215170220 | Teter Audiology, Hearing Aid Dispensing and Electronics, PC | Hearing Aid Equipment | 21 Willow Pond Way, Suite 110, Penfield, NY 14526-2687 | 2009-04-07 |
| 1669687000 | Roy Alan Hepner | Orthopaedic Surgery | 21 Willow Pond Way, Penfield, NY 14526 | 2007-05-11 |
| 1174657712 | Agape Counseling Associates Inc | Social Worker | 21 Willow Pond Way, Suite 103, Penfield, NY 14526-2687 | 2007-03-15 |
| 1730229048 | Genesee Valley Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 21 Willow Pond Way, Suite 200, Penfield, NY 14526-2687 | 2007-02-07 |
| 1932246592 | Terrance J. O'keefe Dds LLC | Dentist | 21 Willow Pond Way, Suite 203, Penfield, NY 14526-2687 | 2007-01-31 |
| 1477608586 | Denise Ann Asandrov-bondy | Social Worker | 21 Willow Pond Way, Suite 210, Penfield, NY 14526-2687 | 2007-01-25 |
| 1013098847 | Judy L O'leary-sargeant | Psychologist | 21 Willow Pond Way, Suite 210, Penfield, NY 14526-2687 | 2006-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791839 | Lori A Teller-mcdonald | Counselor | 15 Hidden Meadow, Penfield, NY 14526 | 2017-10-17 |
| 1952825028 | Theresa J Maher | Social Worker | 52 Liberty Street, Penfield, NY 14526 | 2017-08-01 |
| 1669894291 | Joseph Muscarella | Occupational Therapist | 22 Meadowlark Dr., Penfield, NY 14526 | 2014-01-16 |
| 1558645051 | Kathleen B Harris | Registered Nurse | 1750 Scribner Road, Penfield, NY 14526 | 2011-10-03 |
| 1073834115 | Lauren N O'meal | Registered Nurse | 481 Penbrooke Drive, Suite 6, Penfield, NY 14526 | 2010-06-11 |
| 1033365515 | Tiffany Marie Spring Welsher | Speech-Language Pathologist | 58 Dublin Heights Rd, Penfield, NY 14526 | 2008-08-15 |
| 1447358064 | Cvs Albany LLC | Pharmacy | 2200 Penfield Rd Penn Fair Plz, Penfield, NY 14526 | 2006-09-20 |
| 1295837185 | Gloria Nichols | Dentist | 2041 Penfield Rd, Penfield, NY 14526 | 2006-09-02 |
| 1023029402 | Robert Ciccone | Dentist | 2094 Five Mile Line Rd, Penfield, NY 14526 | 2006-08-10 |
| 1891732608 | Joselito Gaspar Delossantos | Pharmacist | 2200 Penfield Road, Cvs Pharmacy #545, Penfield, NY 14526 | 2006-06-01 |
| Find all providers in zip 14526 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932921 | Jennifer Thomas | Registered Nurse | 1835 Baird Rd, Penfield, NY 14526-1045 | 2020-05-02 |
| 1023033396 | Barbara Sullivan | Registered Nurse | 21 Willow Pond Way, Ste 200, Penfield, NY 14526-2687 | 2006-07-13 |
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|---|---|---|---|---|
| 1164023909 | Joshua Ryan Fox | Registered Nurse | 97 Lianne Dr, Rochester, NY 14626-5337 | 2020-11-06 |
| 1386242261 | Asha Ewrse | Registered Nurse | 24022 Weller Ave, Rosedale, NY 11422-2316 | 2020-10-13 |
| 1407454689 | Emily Rose Hale | Registered Nurse | 58 Evanston Pl, Buffalo, NY 14220-2641 | 2020-10-11 |
| 1750998142 | Keely May Craig | Registered Nurse | 400 W 113th St Apt 410, New York, NY 10025-1770 | 2020-09-29 |
| 1548876055 | Bridget Anne Muscatello | Registered Nurse | 2551 Country Ln, Baldwinsville, NY 13027-9606 | 2020-09-20 |
| 1881209252 | Emily Francesca | Registered Nurse | 80 Corona Rd, Rochester, NY 14615-2643 | 2020-09-12 |
| 1033727649 | Samantha Ashley Hedges | Registered Nurse | 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 | 2020-07-20 |
| 1447870241 | Carrie Marie Meyer | Registered Nurse | 3 Lucia Cir, North Chili, NY 14514-9632 | 2020-04-21 |
| 1255968087 | Anna Marie Marcy | Registered Nurse | 44 Dundas Dr, Rochester, NY 14625-1369 | 2020-03-23 |
| 1790315885 | Gabrielle Alexis Ranger-murdock | Registered Nurse | 37 W 26th St # 8, New York, NY 10010-1006 | 2020-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.