Individual
CHERYL MARIE PALMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6447
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
291419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400054680
MEDICARE
NY
01
—
G400053446
GHI MEDICARE
NY
01
—
P00115580
RR MEDICARE
—
Enumeration date
08/29/2006
Last updated
09/15/2011
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