Provider Demographics
NPI:1609145697
Name:PERRATORE, ELISA
Entity Type:Individual
Prefix:MS
First Name:ELISA
Middle Name:
Last Name:PERRATORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14-45 143 STREET
Mailing Address - Street 2:ROOM 210 WHITESTONE SCHOOL FOR CHILD DEV.
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357
Mailing Address - Country:US
Mailing Address - Phone:718-746-6666
Mailing Address - Fax:
Practice Address - Street 1:14-45 143 STREET
Practice Address - Street 2:ROOM 210 WHITESTONE SCHOOL FOR CHILD DEV.
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-746-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271024-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool