Healthcare Provider Details

I. General information

NPI: 1568431369
Provider Name (Legal Business Name): KATARZYNA PERLMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 15TH AVE
BROOKLYN NY
11219-5009
US

IV. Provider business mailing address

5925 15TH AVE
BROOKLYN NY
11219-5009
US

V. Phone/Fax

Practice location:
  • Phone: 718-972-2700
  • Fax: 718-972-2701
Mailing address:
  • Phone: 718-972-2700
  • Fax: 718-972-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number236477
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: