| Daryl Perlman Physician Pc | |
|
4230 Hempstead Tpke Ste 106 Bethpage NY 11714-5700 | |
| (516) 470-1669 | |
| (516) 470-1670 |
| Full Name | Daryl Perlman Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4230 Hempstead Tpke Ste 106, Bethpage, New York |
| Authorized Official Name and Position | Daryl A Perlman (PRESIDENT) |
| Authorized Official Contact | 5164701669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daryl Perlman Physician Pc 4230 Hempstead Tpke Ste 106 Bethpage NY 11714-5700 Ph: (516) 470-1669 | Daryl Perlman Physician Pc 4230 Hempstead Tpke Ste 106 Bethpage NY 11714-5700 Ph: (516) 470-1669 |
| NPI Number | 1821017856 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 12/18/2015 |
| Medicare PECOS PAC ID | 7315997939 |
|---|---|
| Medicare Enrollment ID | O20050131000838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821017856 | NPI | - | NPPES |
| 225ACEU691 | Other | NY | PROVIDER TRANSACTION ACCESS NUMBER PTAN |
| WEU691 | Other | NY | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 226847 (New York) | Primary |
| Provider Name | Daryl A Perlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538116900 PECOS PAC ID: 0547245730 Enrollment ID: I20040622000647 |
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