Individual
DR. DIVYA PERIASAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1610 ROUTE 88 FL 3, BRICK, NJ 08724-3018
(732) 295-6543
(732) 295-6204
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA1205400
NJ
Other
Enumeration date
04/23/2020
Last updated
08/01/2025
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