Perelman, Mark

Perelman, Mark is an sole proprietor health care provider with primary practice located at 455 E Bay Dr , Long Beach NY 11561-2301. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Perelman, Mark can be contacted via phone (516) 897-1000.

Contact Information

Primary practice address
455 E Bay Dr Long Beach NY 11561-2301
Phone: (516) 897-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 214299 New York

Profile Details

NPI number 1407820368
LBN Legal business name Perelman, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Aug 19th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407820368 NPPES
New York MEDICAID 01980703

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