National Provider Identifier
Maxine Perchuk, LMFT
Maxine Perchuk, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Lily Dale, NY and a listed phone number of (347) 613-4567.
Profile Overview
- NPI
- 1780411959
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- September 19, 2024
- Last Updated
- September 19, 2024
Practice Location
- 20 Fourth St # 1141
- Lily Dale, NY 14752-9704
Phone: (347) 613-4567
Mailing Address
- PO Box 1141
- Lily Dale, NY 14752-1141
Specialties
- Marriage & Family Therapist (106H00000X)
Full Record
- NPI
- 1780411959
- Entity Type
- Individual
- Last Name
- Perchuk
- First Name
- Maxine
- Credential
- LMFT
- Mailing Street Address
- PO Box 1141
- Mailing City
- Lily Dale
- Mailing State
- NY
- Mailing ZIP Code
- 14752-1141
- Mailing Country
- US
- Mailing Phone
- (347) 712-7362
- Practice Street Address
- 20 Fourth St # 1141
- Practice City
- Lily Dale
- Practice State
- NY
- Practice ZIP Code
- 14752-9704
- Practice Country
- US
- Practice Phone
- (347) 613-4567
- Enumeration Date
- September 19, 2024
- Last Updated
- September 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X)