Organization
SALVATORE J PALUMBO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BAUMBACH (CREDENTIALING SPECIALIST)
(631) 482-9977
Entity
Organization
Contact information
Practice address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
Mailing address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-5371
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB0624
MEDICARE RR
NY
01
—
WEQ401
PTAN
NY
Enumeration date
01/05/2007
Last updated
01/20/2022
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