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NPI Code Detail

MEDICARE: PELHAM PHYSICAL MEDICINE,INC

MEDICARE: PELHAM PHYSICAL MEDICINE,INC
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
1111N00000XChiropractorX0019351NY
2174400000XSpecialist205143-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144262510
Entity Type Code : Organization
Provider Name (Legal Business Name) : PELHAM PHYSICAL MEDICINE,INC
Provider Business Mailing Address
First Line : 2118 WILLIAMSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10461-1602
Country : US
Telephone Number : 718-823-3900
Fax Number : 718-823-3961
Provider Business Practice Location Address
First Line : 2118 WILLIAMSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10461-1602
Country : US
Telephone Number : 718-823-3900
Fax Number : 718-823-3961
Authorized Official
Title or Position : ADMINSTRATOR
Name : MR. ALLAN PERLMUTTER
Credential : D.C.
Telephone Number : 718-823-3900
Provider Enumeration Date : 06/12/2006
Last Update Date : 09/11/2025

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Directions to “PELHAM PHYSICAL MEDICINE,INC ” Practice Location

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