MEDICARE: MARINA PERPER

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	207N00000X	Dermatology Physician	335611-01	NY

General Provider Information

NPI Number	:	1023694700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA PERPER

Provider Business Mailing Address
First Line	:	55 PASEO PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-5558
Country	:	US
Telephone Number	:	516-562-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 PASEO PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-5558
Country	:	US
Telephone Number	:	516-417-3727
Fax Number	:

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

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	12/22/2025

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Directions to “ MARINA PERPER ” Practice Location

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