Individual
CARINA PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R P.A.-C
Contact information
Practice address
327 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2905
(631) 979-0909
(631) 979-0455
Mailing address
327 MIDDLE COUNTRY RD, SMITHTOWN, NY 11787-2905
(631) 979-0909
(631) 979-0455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
009388
NY
207NP0225X
Pediatric Dermatology Physician
009388
NY
363AM0700X
Medical Physician Assistant
009388
NY
Other
Enumeration date
02/01/2011
Last updated
03/02/2017
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