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1770585952

NPI Code Detail

MEDICARE: DR. KENNETH I PEARLMAN MD

MEDICARE: DR. KENNETH I PEARLMAN MD

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	160969	NY
2	207RG0100X	Gastroenterology Physician	160969	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1770585952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH I PEARLMAN MD

Provider Business Mailing Address
First Line	:	317 E 34TH ST
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10016-4974
Country	:	US
Telephone Number	:	212-726-7444
Fax Number	:	212-209-3244

Provider Business Practice Location Address
First Line	:	317 E 34TH ST
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10016-4974
Country	:	US
Telephone Number	:	212-726-7444
Fax Number	:	212-209-3244

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/14/2023

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Directions to “ DR. KENNETH I PEARLMAN MD” Practice Location

Language	Start Address	Practice Location

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