Individual
DR. JOSEPH GERALD PERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
499 ISLIP AVE, ISLIP, NY 11751-1809
(631) 277-8618
(631) 277-8660
Mailing address
499 ISLIP AVE, ISLIP, NY 11751-1809
(631) 277-8618
(631) 277-8660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009-003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01030331
—
NY
Enumeration date
01/02/2007
Last updated
07/08/2007
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