Healthcare Provider Details

I. General information

NPI: 1972684421
Provider Name (Legal Business Name): STEVEN J PEARLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 PARK AVE
NEW YORK NY
10021-8140
US

IV. Provider business mailing address

521 PARK AVE
NEW YORK NY
10021-8140
US

V. Phone/Fax

Practice location:
  • Phone: 212-223-8300
  • Fax: 800-806-0755
Mailing address:
  • Phone: 212-223-8300
  • Fax: 212-644-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number156744
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: