Organization
EUGENE PERLOV MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE PERLOV M.D. (PRESIDENT)
(917) 648-1913
Entity
Organization
Contact information
Practice address
21 W BROADWAY, NEW YORK, NY 10007-2170
(917) 648-1913
(347) 457-3199
Mailing address
133 W 17TH ST, APT 5C, NEW YORK, NY 10011-5448
(718) 787-3150
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
236752
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
236752
NY
Other
Enumeration date
12/20/2011
Last updated
12/21/2011
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