Individual
BRIAN S PALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6021 STATEFARM RD, GUILDERLAND, NY 12084
(518) 456-6525
Mailing address
425 3RD ST, TROY, NY 12180-5320
(518) 669-1709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279625
NY
Other
Enumeration date
08/20/2008
Last updated
08/25/2008
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