Individual
CANDICE PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
37 MONTGOMERY AVE, MASTIC, NY 11950-2605
(934) 235-7589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1123061171
NY
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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