Provider Demographics
NPI:1699878843
Name:PERLMUTTER, HARRIET E (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:E
Last Name:PERLMUTTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 S VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5222
Mailing Address - Country:US
Mailing Address - Phone:516-594-1297
Mailing Address - Fax:516-594-1297
Practice Address - Street 1:21 S VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5222
Practice Address - Country:US
Practice Address - Phone:516-594-1297
Practice Address - Fax:516-594-1297
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO145761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN10521Medicare ID - Type UnspecifiedEMPIRE MEDICARE SERVICES