Individual
MRS. JANE MARIE PERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
STONY BROOK UNIVERSITY MEDICAL CENTER, HSCT11 031, STONY BROOK, NY 11794-8111
(631) 444-1313
(631) 444-7248
Mailing address
STONY BROOK UNIVERSITY MEDICAL CENTER, HSCT11 031, STONY BROOK, NY 11794-8111
(631) 444-1313
(631) 444-7248
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381632 1
NY
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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