Basic Information
Provider Information
NPI: 1083745087
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PERLMUTTER
FirstName: DEBORAH
MiddleName: FLORENCE
NamePrefix:  
NameSuffix:  
Credential: NNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 33-07 BERDAN AVE
Address2:  
City: FAIR LAWN
State: NJ
PostalCode: 074104259
CountryCode: US
TelephoneNumber: 2017966143
FaxNumber:  
Practice Location
Address1: NEW YORK PRESBYTERIAN HOSPITAL
Address2: 525 EAST 68TH STREET, M-0014
City: NEW YORK
State: NY
PostalCode: 10021
CountryCode: US
TelephoneNumber: 2127465264
FaxNumber: 2127460358
Other Information
ProviderEnumerationDate: 03/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WN0002XF350012NYY Nursing Service ProvidersRegistered NurseNeonatal Intensive Care

No ID Information.


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