Individual
DR. PERDITA PERMAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(646) 962-0246
(646) 962-0485
Mailing address
420 E 70TH ST RM 502, NEW YORK, NY 10021-5320
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
235700
NY
207K00000X
Allergy & Immunology Physician
235910
MA
208000000X
Pediatrics Physician
235700
NY
208000000X
Pediatrics Physician
235910
MA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
235700
NY
Other
Enumeration date
06/16/2008
Last updated
01/27/2023
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