Doctor Name: | AMANDA ROSE PERAINO |
NPI Number: | 1003215336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, ED.M |
License Number: | 330594091 |
Business Practice Address: | 17 Stonefield Road Glen Rock, NJ - 07452 |
Business Phone Number: | 5514270867 |
Business Fax Number: | |
Mailing Address: | 17 Stonefield Road, GLEN ROCK |
State: | NJ |
Postal Code: | 07452 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/22/2014 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 330594091 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |