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General NPI Number Information
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NPI Number | 1508138884
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Entity Type | Organization
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Legal Business Name | LAWRENCE PERLMUTTER MDPC
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 35 HACKETT BLVD STE 236
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City | ALBANY
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State | NY
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Zip | 12208-3420
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Country | US
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Telephone | 518-472-9111
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Fax | 518-449-7210
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Provider Business Mailing Address
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Address Line | 1774 ROUTE 9
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City | CLIFTON PARK
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State | NY
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Zip | 12065
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Country | US
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Telephone | 518-472-9111
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Fax | 518-449-7210
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Authorized Official
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Title or Position | CEO
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Name | DR. DAVID HENRY PERLMUTTER
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Credential | MD
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Telephone | 518-472-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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