Individual
MRS. DONNA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
70 SOUTHFIELD RD, CALVERTON, NY 11933-1417
(631) 727-6180
(631) 208-0485
Mailing address
70 SOUTHFIELD RD, CALVERTON, NY 11933-1417
(631) 727-6180
(631) 208-0485
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
005174-1
NY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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