Provider Demographics
NPI:1821265208
Name:ORTHOPEDIC CARE PC
Entity Type:Organization
Organization Name:ORTHOPEDIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-589-7813
Mailing Address - Street 1:1 SHERMAN COMMONS ROUTE 37 EAST
Mailing Address - Street 2:UNIT 1 BUILDING 3
Mailing Address - City:SHERMAN
Mailing Address - State:CT
Mailing Address - Zip Code:06784-0000
Mailing Address - Country:US
Mailing Address - Phone:914-589-7813
Mailing Address - Fax:860-354-4930
Practice Address - Street 1:1SHERMAN COMMONS ROUTE 37 EAST
Practice Address - Street 2:UNIT 1 BUILDING 3
Practice Address - City:SHERMAN
Practice Address - State:CT
Practice Address - Zip Code:06784
Practice Address - Country:US
Practice Address - Phone:914-589-7813
Practice Address - Fax:860-354-4930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT026867261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center