Organization
MOOSEDOG MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRICO PALAZZO MD (SECRETARY)
(516) 799-5407
Entity
Organization
Contact information
Practice address
1 MILLER RD, FARMINGDALE, NY 11735-2015
(516) 799-5407
(516) 799-5452
Mailing address
1 MILLER RD, FARMINGDALE, NY 11735-2015
(516) 799-5407
(516) 799-5452
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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