Organization
ANDREW D PEARLE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DAVID PEARLE MD (PRESIDENT)
(212) 146-7526
Entity
Organization
Contact information
Practice address
525 E 68TH ST, STARR 2, NEW YORK, NY 10021-4870
(212) 746-7526
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 146-7526
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
216333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
679F8
EMPIRE BLUE CROSS
NY
01
—
P3624045
OXFORD
NY
Enumeration date
07/01/2006
Last updated
08/22/2020
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