Individual
DR. IRINA PERELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
90 MAIN ST, STE 104, HACKENSACK, NJ 07601-7130
(201) 488-7119
(201) 525-5214
Mailing address
90 MAIN ST, STE 104, HACKENSACK, NJ 07601-7130
(201) 488-7119
(201) 525-5214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00503300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911671
EYE MED PROVIDER NUMBER
NJ
Enumeration date
05/06/2007
Last updated
04/20/2018
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