Provider Demographics
NPI:1124353438
Name:PER, AMALIA (NP)
Entity type:Individual
Prefix:
First Name:AMALIA
Middle Name:
Last Name:PER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-4734
Mailing Address - Country:US
Mailing Address - Phone:917-306-6054
Mailing Address - Fax:718-414-1651
Practice Address - Street 1:275 W MERRICK RD
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3346
Practice Address - Country:US
Practice Address - Phone:718-362-1403
Practice Address - Fax:718-362-1651
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4012272084P0800X, 363LP0808X
NYF306691363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health