Peralta, Carmelina
Peralta, Carmelina is an sole proprietor health care provider with primary practice located at 4 Huntington Rd , Huntington NY 11743-1703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Peralta, Carmelina can be contacted via phone (631) 271-3319.Contact Information
Primary practice address
4 Huntington Rd
Huntington NY 11743-1703
Phone: (631) 271-3319
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 011594 | New York |
Profile Details
| NPI number | 1912057597 |
|---|---|
| LBN Legal business name | Peralta, Carmelina |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Nov 16th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912057597 | NPPES |
| New York | MEDICAID | 01913744 |
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