Individual
DIANA MARIA PERLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 650-2128
Mailing address
240 ELMORE ST, CENTRAL ISLIP, NY 11722-3604
(631) 449-6935
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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