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NPI Code Detail

MEDICARE: CHAYA PERLOW

MEDICARE: CHAYA PERLOW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1396128831
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAYA PERLOW
Provider Business Mailing Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Provider Business Practice Location Address
First Line : 945 RIVER AVE STE 201
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5675
Country : US
Telephone Number : 732-833-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2015
Last Update Date : 10/11/2018

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Directions to “ CHAYA PERLOW ” Practice Location

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