Maxine Perchuk, LMFT is a
Marriage & Family Therapist based in Lily Dale, New York. Maxine Perchuk is licensed to practice in New York (license number 001365) and her current practice location is
20 Fourth St # 1141, Lily Dale, New York. She can be reached at her office (for appointments etc.) via phone at
(347) 613-4567.
NPI number for Maxine Perchuk is 1780411959 and her current mailing address is Po Box 1141, Lily Dale, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780411959.
Healthcare Provider's Profile
| Full Name | Maxine Perchuk |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 20 Fourth St # 1141, Lily Dale, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780411959
- Provider Enumeration Date: 09/19/2024
- Last Update Date: 09/19/2024
Medical Identifiers
Medical identifiers for Maxine Perchuk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780411959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 001365 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maxine Perchuk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Maxine Perchuk, LMFT
Po Box 1141,
Lily Dale, NY 14752-1141
Ph: (347) 712-7362 | Maxine Perchuk, LMFT
20 Fourth St # 1141,
Lily Dale, NY 14752-9704
Ph: (347) 613-4567 |
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