Provider Demographics
NPI:1831524800
Name:PERLA, RINA
Entity type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:PERLA
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 1:100 JERUSALEM AVE
Mailing Address - Street 2:AP. C21
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-6041
Mailing Address - Country:US
Mailing Address - Phone:516-902-6184
Mailing Address - Fax:
Practice Address - Street 1:100 JERUSALEM AVE
Practice Address - Street 2:APT. C21
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-6041
Practice Address - Country:US
Practice Address - Phone:516-902-6184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6417581163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse