MEDICARE: ESTHER PHYLLIS PERLMUTTER M.D.

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	207R00000X	Internal Medicine Physician	187297	NY

General Provider Information

NPI Number	:	1497862973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER PHYLLIS PERLMUTTER M.D.

Provider Business Mailing Address
First Line	:	1259 52ND ST
Second Line	:	#6
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3835
Country	:	US
Telephone Number	:	718-435-4667
Fax Number	:	718-853-3269

Provider Business Practice Location Address
First Line	:	5001 15TH AVENUE
Second Line	:	APT. 1A
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3835
Country	:	US
Telephone Number	:	718-436-0037
Fax Number	:	718-853-3269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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