Provider Demographics
NPI:1922203561
Name:PERLMUTTER, AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:PERLMUTTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 W 60TH ST
Mailing Address - Street 2:SUITE 33E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7940
Mailing Address - Country:US
Mailing Address - Phone:917-837-8318
Mailing Address - Fax:
Practice Address - Street 1:45 W 60TH ST
Practice Address - Street 2:SUITE 33E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7940
Practice Address - Country:US
Practice Address - Phone:917-837-8318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178769208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF51756Medicare UPIN