Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 189185 | NY |
Y | 2080P0210X | Pediatric Nephrologist | 189185 | NY |
NPI | 1437246501 |
---|---|
Provider Name | Eduardo M Perelstein |
First Address | New York, NY 10021-4635 |
Second Address | New York, NY 10021-4635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 27/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0150050 | (05) | NY |
G37598 | (02) | NY |