Provider Demographics
NPI:1467234278
Name:PERRINO, MONICA (DPT)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:PERRINO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 HIGHLAND DOWN
Mailing Address - Street 2:
Mailing Address - City:SHOREHAM
Mailing Address - State:NY
Mailing Address - Zip Code:11786-1525
Mailing Address - Country:US
Mailing Address - Phone:516-510-0731
Mailing Address - Fax:
Practice Address - Street 1:3330 NOYAC RD BLDG C
Practice Address - Street 2:
Practice Address - City:SAG HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11963-1931
Practice Address - Country:US
Practice Address - Phone:631-899-3635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist