Provider Demographics
NPI:1245832583
Name:PERKOV, JOANNA CHRISTINA (PHARMD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:CHRISTINA
Last Name:PERKOV
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6079 STATE ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13365-5502
Mailing Address - Country:US
Mailing Address - Phone:315-219-6804
Mailing Address - Fax:
Practice Address - Street 1:4593 COMMERCIAL DR
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-6290
Practice Address - Country:US
Practice Address - Phone:315-768-1900
Practice Address - Fax:315-768-2365
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063501183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist