Provider Demographics
NPI:1568463776
Name:PALMER, ROBERT J (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W 22ND ST
Mailing Address - Street 2:5TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5817
Mailing Address - Country:US
Mailing Address - Phone:212-255-1800
Mailing Address - Fax:212-255-0714
Practice Address - Street 1:32 W 22ND ST
Practice Address - Street 2:5TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5817
Practice Address - Country:US
Practice Address - Phone:212-255-1800
Practice Address - Fax:212-255-0714
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3759111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor