Individual
BEVERLY PERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 BARDOLIER LN, BAY SHORE, NY 11706-7643
(347) 277-6409
Mailing address
73 BARDOLIER LN, BAY SHORE, NY 11706-7643
(347) 277-6409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
635359-01
NY
302R00000X
Health Maintenance Organization
Primary
635359
NY
Other
Enumeration date
02/03/2016
Last updated
01/23/2026
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