Pellman, Carl M.

Pellman, Carl M. is an individual health care provider with primary practice located at 7901 Broadway Room A1-9, Elmhurst NY 11373-1329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Pellman, Carl M. can be contacted via phone (718) 334-4952.

Contact Information

Primary practice address
7901 Broadway Room A1-9 Elmhurst NY 11373-1329
Fax: (718) 334-4815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 081533 New York

Profile Details

NPI number 1396852802
LBN Legal business name Pellman, Carl M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Nov 5th, 2007 - about 17 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 1396852802 NPPES
New York MEDICAID 00118227

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