Provider Demographics
NPI:1689821340
Name:ROBIN CARA PERAGINE
Entity Type:Organization
Organization Name:ROBIN CARA PERAGINE
Other - Org Name:ROBIN CARA PERAGINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:CARA
Authorized Official - Last Name:PERAGINE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:914-736-2622
Mailing Address - Street 1:6 ROLLING WAY APT N
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-6410
Mailing Address - Country:US
Mailing Address - Phone:914-736-2622
Mailing Address - Fax:
Practice Address - Street 1:6 ROLLING WAY APT N
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-6410
Practice Address - Country:US
Practice Address - Phone:914-736-2622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2934993104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances