Perino, Joseph Gerald

Perino, Joseph Gerald is an sole proprietor health care provider with primary practice located at 499 Islip Ave , Islip NY 11751-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Perino, Joseph Gerald can be contacted via phone (631) 277-8618.

Contact Information

Primary practice address
499 Islip Ave Islip NY 11751-1809
Fax: (631) 277-8660
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 009-003 New York

Profile Details

NPI number 1356408025
LBN Legal business name Perino, Joseph Gerald
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356408025 NPPES
New York MEDICAID 01030331

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