Provider Demographics
NPI:1356842132
Name:PERFECT ENDO CORP
Entity Type:Organization
Organization Name:PERFECT ENDO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-379-9730
Mailing Address - Street 1:34 88TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5524
Mailing Address - Country:US
Mailing Address - Phone:917-379-9730
Mailing Address - Fax:
Practice Address - Street 1:2348 RALPH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5515
Practice Address - Country:US
Practice Address - Phone:917-379-9730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty