Individual
BRADFORD A PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206
(518) 489-2666
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 262-1333
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012728
NY
Other
Enumeration date
10/08/2008
Last updated
09/04/2012
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