Doctor Name: | BEVERLY PERRONE |
NPI Number: | 1093173262 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 635359 |
Business Practice Address: | 235 N Belle Mead Rd East Setauket, NY - 117333456 |
Business Phone Number: | 6317513000 |
Business Fax Number: | 6317510506 |
Mailing Address: | 235 N Belle Mead Rd, E SETAUKET |
State: | NY |
Postal Code: | 11733 |
Phone Number: | 6317513000 |
Fax Number: | 6317510506 |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 635359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |