MEDICARE: MRS. NINA PERCHENOK

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	174400000X	Specialist

General Provider Information

NPI Number	:	1972866127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NINA PERCHENOK

Provider Business Mailing Address
First Line	:	1347 PARK ST
Second Line	:
City	:	ATLANTIC BEACH
State	:	NY
Zip	:	11509-1622
Country	:	US
Telephone Number	:	917-463-6202
Fax Number	:

Provider Business Practice Location Address
First Line	:	1347 PARK ST
Second Line	:
City	:	ATLANTIC BEACH
State	:	NY
Zip	:	11509-1622
Country	:	US
Telephone Number	:	917-463-6202
Fax Number	:

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

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	06/22/2012

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1871762310 — EVONDA TIMBERS CMT
Practice Location Address:

11 MANYMIND AVE
ATLANTIC HIGHLANDS, NJ
07716-1622

Practice Phone: 908-902-1579
Practice Fax:

1316938491 — DR. JACK H. RABER PHARM.D.
Practice Location Address:

7890 E SPRING ST
LONG BEACH, CA
90815-1622

Practice Phone: 562-596-8753
Practice Fax: 707-897-1657

1578589230 — DR. MARY FORSYTH VASILOFF AU.D.
Practice Location Address:

26C RACETRACK RD NW
FORT WALTON BEACH, FL
32547-1622

Practice Phone: 850-226-6633
Practice Fax: 850-226-6883

1134238371 — DANIEL M MCNABB MD
Practice Location Address:

CAROLINA HEALTH SPECIALISTS 4615 OLEANDER DR , SUITE 201-A
MYRTLE BEACH, SC
29577-1622

Practice Phone: 843-449-9559
Practice Fax:

1598891426 — HEARING ASSOCIATES FWB, INC
Practice Location Address:

26C RACETRACK RD NW
FORT WALTON BEACH, FL
32547-1622

Practice Phone: 850-226-6633
Practice Fax: 850-226-6883

Directions to “ MRS. NINA PERCHENOK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.