Provider Demographics
NPI:1639490105
Name:PERRI, ANNEMARIE TERESA
Entity Type:Individual
Prefix:MS
First Name:ANNEMARIE
Middle Name:TERESA
Last Name:PERRI
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 1:24 TERBAR COURT
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522-6024
Mailing Address - Country:US
Mailing Address - Phone:845-802-3564
Mailing Address - Fax:
Practice Address - Street 1:24 TER BAR CT
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522-6024
Practice Address - Country:US
Practice Address - Phone:845-802-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300122-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse