Individual
ORVILLE DAVE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1783 MADISON AVE, NEW YORK, NY 10029
(212) 348-6001
(212) 348-6067
Mailing address
PO BOX 891, NEW YORK, NY 10037
(347) 539-9023
(718) 471-4791
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
208819
NY
208200000X
Plastic Surgery Physician
208819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914841
—
NY
Enumeration date
05/31/2006
Last updated
01/09/2009
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