Provider Demographics
NPI:1255334017
Name:PALOMBARO, FARRELL & HILL, DDS, PC
Entity Type:Organization
Organization Name:PALOMBARO, FARRELL & HILL, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMBARO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:607-724-1379
Mailing Address - Street 1:151 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4218
Mailing Address - Country:US
Mailing Address - Phone:607-724-1389
Mailing Address - Fax:
Practice Address - Street 1:151 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4218
Practice Address - Country:US
Practice Address - Phone:607-724-1389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03842511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty