Individual
AMANDA ROSE PERAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ED.M
Contact information
Practice address
17 STONEFIELD ROAD, GLEN ROCK, NJ 07452
(551) 427-0867
Mailing address
17 STONEFIELD ROAD, GLEN ROCK, NJ 07452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
330594091
NY
174400000X
Specialist
Primary
770434131
NY
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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