Individual
JOHN PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAN ASSISTANT
Contact information
Practice address
55 NORTHERN BLVD, STE 103, GREAT NECK, NY 11021-4058
(516) 466-9300
(516) 466-9353
Mailing address
369 EAST MAIN STREET, SUITE 3, EAST ISLIP, NY 11730-2800
(631) 581-4500
(631) 581-1689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZH0WET0810
GROUP NUMBER
NY
Enumeration date
07/10/2006
Last updated
07/14/2015
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