Provider Demographics
NPI:1538116900
Name:PERLMAN, DARYL (DO)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 HEMPSTEAD TPKE STE 106
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5700
Mailing Address - Country:US
Mailing Address - Phone:516-470-1669
Mailing Address - Fax:516-470-1670
Practice Address - Street 1:4230 HEMPSTEAD TPKE STE 106
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5700
Practice Address - Country:US
Practice Address - Phone:516-470-1669
Practice Address - Fax:516-470-1670
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226847207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEU691OtherGROUP PTAN
NY225ACEU691OtherPROVIDER TRANSACTION NO
NYWEU691OtherGROUP PTAN