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1639872393
DESIREE PERILLO
STONY BROOK, NY
NPI
1639872393
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
Ms. DESIREE PERILLO PA-C
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-689-8333
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Mailing Address
Ms. DESIREE PERILLO PA-C
24 WHITMAN AVE
PORT JEFFERSON STATION, NY 11776-2932
Phone number: 631-796-9270
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