Individual
DR. MANUEL C. PALAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HORWOOD PLACE, OGDENSBURG, NY 13669-4510
(315) 394-0426
(315) 394-0426
Mailing address
4567 CROSSROADS PARK DRIVE, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
176764
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1767641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01146230
—
NY
Enumeration date
11/09/2006
Last updated
01/12/2012
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