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NPI Code Detail

MEDICARE: MR. DANIEL PERLOV LCSW

MEDICARE:  MR. DANIEL  PERLOV  LCSW
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
11041C0700XClinical Social WorkerRO17080-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RO17080-1OTHERNYNYS LICENSE

General Provider Information

NPI Number : 1366609349
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PERLOV LCSW
Provider Business Mailing Address
First Line : 190 BERKELEY PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3802
Country : US
Telephone Number : 718-638-7244
Fax Number :
Provider Business Practice Location Address
First Line : 190 BERKELEY PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-3802
Country : US
Telephone Number : 718-638-7244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/19/2008

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Directions to “ MR. DANIEL PERLOV LCSW” Practice Location

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