Perret, Robert S.

Perret, Robert S. is an individual health care provider with primary practice located at 2500 Nesconset Hwy Building 5D, Stony Brook NY 11790-2555. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Perret, Robert S. can be contacted via phone (631) 689-7979.

Contact Information

Primary practice address
2500 Nesconset Hwy Building 5D Stony Brook NY 11790-2555
Fax: (631) 754-1642
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6718 New York

Profile Details

NPI number 1376518019
LBN Legal business name Perret, Robert S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376518019 NPPES
New York MEDICAID 00674135

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