Individual
DR. KENNETH PERRINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-2197
(212) 746-8947
Mailing address
525 E 68TH ST, NEUROLOGICAL SURGERY, BOX 99, NEW YORK, NY 10065-4870
(212) 746-2197
(212) 746-8947
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
010408
NY
103TC0700X
Clinical Psychologist
010408
NY
Other
Enumeration date
05/30/2006
Last updated
07/21/2011
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