Provider Demographics
NPI:1114606944
Name:PERLZWEIG, EMILY VICTORIA (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:VICTORIA
Last Name:PERLZWEIG
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WALNUT RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-2219
Mailing Address - Country:US
Mailing Address - Phone:516-495-0074
Mailing Address - Fax:
Practice Address - Street 1:4 WALNUT RD
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2219
Practice Address - Country:US
Practice Address - Phone:516-495-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY383621363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics