Organization
SAMUEL B PEARLSTEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA L PEARLSTEIN (OFFICE MANAGER)
(315) 637-5500
Entity
Organization
Contact information
Practice address
512 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 637-5500
(315) 637-5588
Mailing address
512 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 637-5500
(315) 637-5588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
NY
213ES0000X
Sports Medicine Podiatrist
—
NY
213ES0131X
Foot Surgery Podiatrist
—
NY
Other
Enumeration date
12/15/2006
Last updated
05/29/2008
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