Individual
MS. CARMELINA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4 HUNTINGTON RD, HUNTINGTON, NY 11743-1703
(631) 271-3319
Mailing address
4 HUNTINGTON RD, HUNTINGTON, NY 11743-1703
(631) 271-3319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
011594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01913744
—
NY
Enumeration date
01/12/2007
Last updated
11/16/2020
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