Individual
RADICA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-2082
Mailing address
2186 BABYLON TPKE, MERRICK, NY 11566-3518
(516) 378-0297
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307868-1
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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