Provider Demographics
NPI:1134175482
Name:NORTH SHORE OTOLARYNGOLOGY ASSOC, P.C.
Entity type:Organization
Organization Name:NORTH SHORE OTOLARYNGOLOGY ASSOC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:W
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-482-8778
Mailing Address - Street 1:333 E SHORE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2900
Mailing Address - Country:US
Mailing Address - Phone:516-482-8778
Mailing Address - Fax:516-482-0923
Practice Address - Street 1:333 E SHORE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2900
Practice Address - Country:US
Practice Address - Phone:516-482-8778
Practice Address - Fax:516-482-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty