Individual provider · Type 1 NPI

Marina Perincheril, PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1053671966 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	015555 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1053671966

Marina Perincheril, PA-C's National Provider Identifier is 1053671966, issued on May 24, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Dec 11, 2025.