| Doctor Name: | DR. KRISTIN R PERINO PALMERI |
| NPI Number: | 1245453745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 0152142 |
| Business Practice Address: | 499 Islip Avenue Islip, NY - 117511826 |
| Business Phone Number: | 6312778618 |
| Business Fax Number: | 6312778660 |
| Mailing Address: | 499 Islip Avenue, ISLIP |
| State: | NY |
| Postal Code: | 117511826 |
| Phone Number: | 6312778618 |
| Fax Number: | 6312778660 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 0152142 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |