Provider Demographics
NPI:1962538157
Name:PERLMAN, JASON ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ERIC
Last Name:PERLMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2066 RICHMOND AVE 1ST FL
Mailing Address - Street 2:SUITE 1L
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3960
Mailing Address - Country:US
Mailing Address - Phone:718-982-9001
Mailing Address - Fax:718-982-9008
Practice Address - Street 1:2066 RICHMOND AVE 1ST FL
Practice Address - Street 2:SUITE 1L
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3960
Practice Address - Country:US
Practice Address - Phone:718-982-9001
Practice Address - Fax:718-982-9008
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2016-04-12
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Provider Licenses
StateLicense IDTaxonomies
NY239652208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases