Provider Demographics
NPI:1659320679
Name:PERELSTEIN, ASYA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ASYA
Middle Name:E
Last Name:PERELSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ASYA
Other - Middle Name:
Other - Last Name:PERELSHTEYN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:800 POLY PL
Mailing Address - Street 2:BROOKLYN VAMC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7104
Mailing Address - Country:US
Mailing Address - Phone:718-836-6600
Mailing Address - Fax:718-630-3761
Practice Address - Street 1:800 POLY PL
Practice Address - Street 2:MEDICAL SERVICE (111)
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7104
Practice Address - Country:US
Practice Address - Phone:718-630-3766
Practice Address - Fax:718-630-3761
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172032-1207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine