Healthcare Provider Details

I. General information

NPI: 1942203724
Provider Name (Legal Business Name): DAVID ADAM PERLSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 3RD AVE
BRONX NY
10457-2545
US

IV. Provider business mailing address

215 W 98TH ST APT 5E
NEW YORK NY
10025-5633
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-9071
  • Fax: 718-960-3792
Mailing address:
  • Phone: 718-960-9071
  • Fax: 718-960-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number203473
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: