MEDICARE: MARTIN PERLIN, 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	030601	CT
2	261QM2500X	Medical Specialty Clinic/Center	131163	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780702852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN PERLIN, M.D.

Provider Business Mailing Address
First Line	:	118 N BEDFORD RD STE 100
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2555
Country	:	US
Telephone Number	:	203-856-0185
Fax Number	:	203-866-5594

Provider Business Practice Location Address
First Line	:	118 N BEDFORD RD STE 100
Second Line	:
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-2555
Country	:	US
Telephone Number	:	203-856-0185
Fax Number	:	203-866-5594

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MARTIN PERLIN
Credential	:	MD
Telephone Number	:	203-838-7205

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	03/04/2022

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