Individual
KHADIJA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 E TREMONT AVE, BRONX, NY 10465-2900
(718) 409-6500
Mailing address
3924 EAST TREMONT AVENUE, BRONX, NY 10465
(718) 409-6500
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
7436141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8564
SOCIAL SECURITY NUMBER
NY
Enumeration date
10/26/2011
Last updated
10/26/2011
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