Individual
MARK PERELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 E BAY DR, LONG BEACH, NY 11561-2301
(516) 897-1000
Mailing address
2163 E 24TH ST, APT #1, BROOKLYN, NY 11229-4901
(516) 897-1000
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
214299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01980703
—
NY
Enumeration date
02/15/2006
Last updated
08/19/2008
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