Provider Demographics
NPI:1043538895
Name:MICHAEL PALMERI, MD, PLLC
Entity Type:Organization
Organization Name:MICHAEL PALMERI, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-712-3144
Mailing Address - Street 1:108 VAN GUILDER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5406
Mailing Address - Country:US
Mailing Address - Phone:914-712-3144
Mailing Address - Fax:914-712-3155
Practice Address - Street 1:108 VAN GUILDER AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5406
Practice Address - Country:US
Practice Address - Phone:914-712-3144
Practice Address - Fax:914-712-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184155207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty