Provider Demographics
NPI:1265754931
Name:PERLMAN, JOSHUA IAN (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:IAN
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 W 57TH ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3406
Mailing Address - Country:US
Mailing Address - Phone:212-838-2900
Mailing Address - Fax:
Practice Address - Street 1:29 W 57TH ST
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3406
Practice Address - Country:US
Practice Address - Phone:212-838-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP71162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist