Provider Demographics
NPI:1386986776
Name:PERLMUTT, OLIVIA SEEHUSEN (MD)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:SEEHUSEN
Last Name:PERLMUTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E 16TH ST
Mailing Address - Street 2:SIDNEY HILLMAN/PHILLIPS FAMILY PRACTICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3105
Mailing Address - Country:US
Mailing Address - Phone:212-206-5200
Mailing Address - Fax:
Practice Address - Street 1:16 E 16TH ST
Practice Address - Street 2:SIDNEY HILLMAN/PHILLIPS FAMILY PRACTICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3105
Practice Address - Country:US
Practice Address - Phone:212-206-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-23
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284741-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine