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Individual

DR. KRISTIN R PERINO PALMERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
499 ISLIP AVENUE, ISLIP, NY 11751-1826
(631) 277-8618
(631) 277-8660
Mailing address
499 ISLIP AVENUE, ISLIP, NY 11751-1826
(631) 277-8618
(631) 277-8660

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0152142
NY
103TP2701X
Group Psychotherapy Psychologist
0152142
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0152142
NYS LICENSE
NY
05
023763055
NY
Enumeration date
04/11/2007
Last updated
10/24/2012
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