Provider Demographics
NPI:1942562343
Name:CAROL PERRINI LLC
Entity Type:Organization
Organization Name:CAROL PERRINI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETORSHIP
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRINI
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-642-7226
Mailing Address - Street 1:3-31 BEACH 149 STREET
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11694
Mailing Address - Country:US
Mailing Address - Phone:646-642-7226
Mailing Address - Fax:718-945-3979
Practice Address - Street 1:331 BEACH 149TH ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11694-1026
Practice Address - Country:US
Practice Address - Phone:646-642-7226
Practice Address - Fax:718-945-3979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty