| Martin Perlin, M.d. | |
|
118 N Bedford Rd Ste 100 Mount Kisco NY 10549-2555 | |
| (203) 856-0185 | |
| (203) 866-5594 |
| Full Name | Martin Perlin, M.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 N Bedford Rd Ste 100, Mount Kisco, New York |
| Authorized Official Name and Position | Martin Perlin (PHYSICIAN) |
| Authorized Official Contact | 2038387205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Perlin, M.d. 118 N Bedford Rd Ste 100 Mount Kisco NY 10549-2555 Ph: (203) 856-0185 | Martin Perlin, M.d. 118 N Bedford Rd Ste 100 Mount Kisco NY 10549-2555 Ph: (203) 856-0185 |
| NPI Number | 1780702852 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 03/04/2022 |
| Medicare PECOS PAC ID | 4486778032 |
|---|---|
| Medicare Enrollment ID | O20200122000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780702852 | NPI | - | NPPES |
| 1306019 | Medicaid | NY | |
| 00747484 | Medicaid | NY | |
| 1306019 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 030601 (Connecticut) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 131163 (New York) | Primary |
| Provider Name | Martin Perlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326062597 PECOS PAC ID: 5799809349 Enrollment ID: I20190823000473 |
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