Provider Demographics
NPI:1417348293
Name:PERRI, CARMELA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARMELA
Middle Name:
Last Name:PERRI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W 64TH ST # 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6734
Mailing Address - Country:US
Mailing Address - Phone:212-875-1207
Mailing Address - Fax:
Practice Address - Street 1:1 W 64TH ST # 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6734
Practice Address - Country:US
Practice Address - Phone:212-875-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-14
Last Update Date:2015-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000130102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst