Provider Demographics
NPI:1306068671
Name:PERAKIS, HELEN (MD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:
Last Name:PERAKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S. PEARL STREET
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965
Mailing Address - Country:US
Mailing Address - Phone:845-920-1890
Mailing Address - Fax:845-920-1889
Practice Address - Street 1:150 S. PEARL STREET
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965
Practice Address - Country:US
Practice Address - Phone:845-920-1890
Practice Address - Fax:845-920-1889
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA260250207Y00000X, 208200000X
NY283446-1208200000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400161580Medicare PIN