Provider Demographics
NPI:1538359518
Name:PERLMAN, ERIC DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DAVID
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 WEST END AVE
Mailing Address - Street 2:APT. # 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6825
Mailing Address - Country:US
Mailing Address - Phone:212-864-2034
Mailing Address - Fax:212-864-7390
Practice Address - Street 1:698 WEST END AVE
Practice Address - Street 2:APT. # 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6825
Practice Address - Country:US
Practice Address - Phone:212-864-2034
Practice Address - Fax:212-864-7390
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006976-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX48681Medicare PIN