MEDICARE: PERLOFF MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1073558219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERLOFF MEDICAL PC

Provider Business Mailing Address
First Line	:	2626 E 14TH ST
Second Line	:	SUITE 204
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3966
Country	:	US
Telephone Number	:	718-513-1400
Fax Number	:	718-517-2524

Provider Business Practice Location Address
First Line	:	2626 E 14TH ST
Second Line	:	SUITE 204
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3966
Country	:	US
Telephone Number	:	718-513-1400
Fax Number	:	718-517-2524

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. IRENE PERLOFF
Credential	:	M.D.
Telephone Number	:	718-513-1400

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	04/10/2017

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Directions to “PERLOFF MEDICAL PC ” Practice Location

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