# EUGENE PERLOV MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972872901
- **Authorized official:** EUGENE PERLOV M.D. (PRESIDENT)
- **Authorized official phone:** (917) 648-1913

## Contact information

- **Practice address:** 21 W BROADWAY, NEW YORK, NY 10007-2170
- **Practice address phone:** (917) 648-1913
- **Practice address fax:** (347) 457-3199
- **Mailing address:** 133 W 17TH ST, APT 5C, NEW YORK, NY 10011-5448
- **Mailing address phone:** (718) 787-3150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 236752 | NY | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | 236752 | NY | — |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 12/21/2011