Provider Demographics
NPI:1891267522
Name:PEARLMAN PSYCHIATRY, PC
Entity Type:Organization
Organization Name:PEARLMAN PSYCHIATRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-518-4356
Mailing Address - Street 1:16 COURT ST STE 1901
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11241-1019
Mailing Address - Country:US
Mailing Address - Phone:917-518-4356
Mailing Address - Fax:917-893-3827
Practice Address - Street 1:16 COURT ST STE 1901
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11241-1019
Practice Address - Country:US
Practice Address - Phone:917-518-4356
Practice Address - Fax:917-893-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty