Healthcare Provider Details

I. General information

NPI: 1982965729
Provider Name (Legal Business Name): DR. FRANCHESKA PEREPLETCHIKOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BLOOMINGDALE RD OUTPATIENT DEPARTMENT, SUITE 110A
WHITE PLAINS NY
10605-1504
US

IV. Provider business mailing address

29 LOUIS DR
KATONAH NY
10536-3122
US

V. Phone/Fax

Practice location:
  • Phone: 203-668-5768
  • Fax:
Mailing address:
  • Phone: 203-668-5768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number019741-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: