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Individual

BRETT PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4528
(518) 561-0130

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420800
NY
Enumeration date
04/12/2017
Last updated
09/26/2022
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