Individual
DR. LANE S PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 MARCUS AVE, SUITE M18, NEW HYDE PARK, NY 11042-1017
(516) 466-6953
(516) 466-5608
Mailing address
247 ROUTE 100, SUITE 1002, SOMERS, NY 10589-3231
(914) 962-0829
(914) 962-8851
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
184849
NY
2088P0231X
Pediatric Urology Physician
184849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017232443
—
NY
Enumeration date
06/30/2006
Last updated
01/29/2014
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