Individual
BETH PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND AVE, NEW YORK, NY 10003-8334
(212) 473-1587
Mailing address
7 INDEPENDENCE AVE, ORANGEBURG, NY 10962-2423
(845) 365-0631
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
009716
NY
183500000X
Pharmacist
Primary
036320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
594319729
DRIVER LICENSE
NY
Enumeration date
02/16/2010
Last updated
01/28/2015
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