Individual
MS. CARMELA PERCONTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS, CLT
Contact information
Practice address
2235 CLOVE RD, STATEN ISLAND, NY 10305-1566
(718) 815-8100
(718) 815-8200
Mailing address
109 TROUTMAN ST, BROOKLYN, NY 11206-6105
(917) 292-7198
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
381550
NY
Other
Enumeration date
11/29/2008
Last updated
01/17/2010
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