MEDICARE: DR. JANE PERR M.D.

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
1	2084P0800X	Psychiatry Physician	146694	NY

General Provider Information

NPI Number	:	1730268913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE PERR M.D.

Provider Business Mailing Address
First Line	:	70 GLEN COVE RD STE 201
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1730
Country	:	US
Telephone Number	:	516-627-9424
Fax Number	:	631-425-2455

Provider Business Practice Location Address
First Line	:	70 GLEN COVE RD STE 201
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1730
Country	:	US
Telephone Number	:	516-627-9424
Fax Number	:	631-425-2455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/02/2025

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