Provider Demographics
NPI:1568439255
Name:PEARLSTEIN, CARYN SORKIN (MD)
Entity Type:Individual
Prefix:
First Name:CARYN
Middle Name:SORKIN
Last Name:PEARLSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 CORAL CT
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4440
Mailing Address - Country:US
Mailing Address - Phone:732-817-9256
Mailing Address - Fax:732-817-9256
Practice Address - Street 1:8721 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5109
Practice Address - Country:US
Practice Address - Phone:718-680-1500
Practice Address - Fax:718-680-5550
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183264207W00000X
NJ25MA06039900207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01624208Medicaid
NYCP097F8710Medicare ID - Type Unspecified
NY01624208Medicaid