Provider Demographics
NPI:1790120277
Name:PERNICK, JUDY (MS SPECIAL ED, CEC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:
Last Name:PERNICK
Suffix:
Gender:F
Credentials:MS SPECIAL ED, CEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2025
Mailing Address - Country:US
Mailing Address - Phone:516-503-9533
Mailing Address - Fax:
Practice Address - Street 1:2803 JANET AVE
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2025
Practice Address - Country:US
Practice Address - Phone:516-503-9533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist