MEDICARE: DR MICHAEL PERLSTEIN

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	335E00000X	Prosthetic/Orthotic Supplier	N004124	NY
2	332B00000X	Durable Medical Equipment & Medical Supplies	N004124	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P43031	OTHER	NY	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103690101	OTHER	NY	HEALTHPLUS
2	4471906-003	OTHER	NY	CIGNA
3	KS499	OTHER	NY	OXFORD
5	1499695	OTHER	NY	GHI
6	P4303	OTHER	NY	EMPIRE BLUECROSS BLUESHIE
7	237111	OTHER	NY	UNITED HEALTHCARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235312521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR MICHAEL PERLSTEIN

Provider Business Mailing Address
First Line	:	4414 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2104
Country	:	US
Telephone Number	:	718-438-8188
Fax Number	:	718-853-0169

Provider Business Practice Location Address
First Line	:	4414 14TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-2104
Country	:	US
Telephone Number	:	718-438-8188
Fax Number	:	718-853-0169

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL PERLSTEIN
Credential	:	DPM
Telephone Number	:	718-438-8188

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	05/15/2008

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Directions to “DR MICHAEL PERLSTEIN ” Practice Location

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