Carmella Pervizi
Individual provider Active NPI Case Manager/Care Coordinator · Shrub Oak, NY
NPI 1508215641 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1508215641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 584756051 (NY)
- Practice address
- 3666 Old Yorktown Rd
Shrub Oak, NY 10588-1502 - Phone
- (347) 821-6385
- NPI assigned
- Jun 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584756051 | NY | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 584756051 | NY | Yes |
Addresses
Primary practice location
3666 Old Yorktown Rd
Shrub Oak, NY 10588-1502
Mailing address
3666 Old Yorktown Rd
Shrub Oak, NY 10588-1502
Phone (347) 821-6385
Other providers in Shrub Oak, NY
- Courtney Alexandria Murray
- Tenisha Neilrobinson
- Alissa Notaro
- Dawn Marie Pellegrino
- Performance Physical Therapy
- Premier Health Choice Medical, PC
- Margaret Anne Rogers
- Ian Katz Rosengarten
- Christian J Russo
- Susannah Elin Sayegh
All providers in Shrub Oak, NY · Case Manager/Care Coordinator in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.