Provider Demographics
NPI:1346877347
Name:PERLMUTTER, JASON JESSIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:JESSIE
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:47 NEW SCOTLAND AVENUE
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-262-5834
Mailing Address - Fax:518-262-6873
Practice Address - Street 1:47 NEW SCOTLAND AVENUE
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-262-5834
Practice Address - Fax:518-262-6873
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY322829207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine