Individual ProviderMarina PerazzoPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1360 Hylan Blvd, Staten Island, NY 10305(718) 667-3577(212) 523-6720PECOS EnrollmentBased on the most recent information from CMS, provider Marina Perazzo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1386650489Provider TypeIndividualFull NamePerazzo, MarinaCredentialPAGenderFemaleSole ProprietorNoEnumeration Date7/31/2006Last Updated8/21/2018Contact InformationPractice LocationPractice Address1360 Hylan Blvd, Staten Island, NY 10305Phone(718) 667-3577Fax(718) 351-7151Mailing LocationMailing AddressPO Box 32870, Hartford, CT 06150Phone(212) 523-6720FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0060091New York