Provider Demographics
NPI:1235312521
Name:DR MICHAEL PERLSTEIN
Entity Type:Organization
Organization Name:DR MICHAEL PERLSTEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-438-8188
Mailing Address - Street 1:4414 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2104
Mailing Address - Country:US
Mailing Address - Phone:718-438-8188
Mailing Address - Fax:718-853-0169
Practice Address - Street 1:4414 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2104
Practice Address - Country:US
Practice Address - Phone:718-438-8188
Practice Address - Fax:718-853-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004124332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY103690101OtherHEALTHPLUS
NY4471906-003OtherCIGNA
NYKS499OtherOXFORD
NYP43031OtherMEDICARE
NY1499695OtherGHI
NYP4303OtherEMPIRE BLUECROSS BLUESHIE
NY237111OtherUNITED HEALTHCARE
NY00966981Medicaid
NY00966981Medicaid
NY4471906-003OtherCIGNA
NY1499695OtherGHI