Organization
ORVILLE PALMER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORVILLE DAVE PALMER M.D. (OWNER)
(917) 501-6193
Entity
Organization
Contact information
Practice address
1783 MADISON AVE, NEW YORK, NY 10035-4537
(212) 348-6001
(212) 348-6067
Mailing address
PO BOX 891, NEW YORK, NY 10037-0891
(347) 539-9023
(718) 471-4791
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
208819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914841
—
NY
Enumeration date
04/03/2009
Last updated
04/03/2009
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