Individual
MARY PALMESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
135 WALNUT ST, CORNING, NY 14830-2545
(607) 962-4686
(607) 962-7520
Mailing address
314 W STATE ST, ITHACA, NY 14850-5432
(607) 273-1513
(607) 216-0039
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F420478-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00362863
—
NY
Enumeration date
12/01/2006
Last updated
07/11/2012
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