Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 156744 | NY |
NPI | 1972684421 |
---|---|
Provider Name | Dr. Steven J Pearlman |
First Address | New York, NY 10021-8140 |
Second Address | New York, NY 10021-8140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61830 | (02) | NY |