Provider Demographics
NPI:1588622088
Name:PEARLMAN, KEITH ELLIOT (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:ELLIOT
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:550 1ST AVE NBV20 N11
Mailing Address - Street 2:NYU SCHOOL OF MEDICINE DEPARTMENT OF PSYCHATRY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-6238
Mailing Address - Fax:
Practice Address - Street 1:333A EAST 29TH STREET
Practice Address - Street 2:NYU MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-263-6238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY215714207R00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine