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Organization
WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC
Active
Organization
WHITE PLAINS MEDICAL DIAGNOSTIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PALUMBO MD (CHIEF MEDICAL OFFICIER)
(914) 681-1201
Entity
Organization
Contact information
Practice address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(845) 348-2000
Mailing address
PO BOX 412937, BOSTON, MA 02241-2937
(844) 869-1761
(315) 552-6590
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TF2961893
TAX FRANCHISE
NY
Enumeration date
09/07/2011
Last updated
02/19/2024
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