Perlotto, Michael James

Perlotto, Michael James is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Perlotto, Michael James can be contacted via phone (631) 689-1462.

Contact Information

Primary practice address
646 Main St Port Jefferson NY 11777-2235
Phone: (631) 689-1462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 016211 New York

Profile Details

NPI number 1285784686
LBN Legal business name Perlotto, Michael James
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285784686 NPPES
New York Other 0110537 VALUE OPTIONS PROVIDER #

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