Individual
JULIE PERLANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 S SHORE RD, OLD FORGE, NY 13420-7786
(315) 369-6619
(315) 369-6533
Mailing address
2209 GENESEE ST, BUSINESS OFFICE ROOM 315, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203516-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01728514
—
NY
01
—
P00449070
RRMCR
NY
Enumeration date
10/27/2005
Last updated
01/27/2021
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