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Individual

MS. ELOISE MARIE PALMISANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
1681 ROUTE 9, SOUTH GLENS FALLS, NY 12803-5555
(518) 741-6111
(518) 741-0142
Mailing address
1681 ROUTE 9, SOUTH GLENS FALLS, NY 12803-5555
(518) 741-6111
(518) 741-0142

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
401251
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F4012511
NY

Other

Enumeration date
03/30/2010
Last updated
05/10/2019
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