Individual
THOMAS PALUMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NPP
Contact information
Practice address
115 PAYSON AVE APT 4F, NEW YORK, NY 10034-2775
(212) 304-3897
Mailing address
115 PAYSON AVE APT 4F, NEW YORK, NY 10034-2775
(212) 304-3897
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
6105794
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401221
NY
Other
Enumeration date
04/18/2010
Last updated
05/05/2010
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