Basic Information
| Provider Information | |||||||||
| NPI: | 1831320464 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PERRY | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | I | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | MT-BC, LCAT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 10476 | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146100476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5857556165 | ||||||||
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| Practice Location | |||||||||
| Address1: | 41 COLEBROOK DR | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146172211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854674567 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2009 | ||||||||
| LastUpdateDate: | 07/30/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225A00000X | 07870 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist |
No ID Information.