Provider Demographics
NPI:1598242224
Name:PALOMINO, RICHARD (PA-C)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:PALOMINO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUILDING 1 CASERMA DEL DIN
Mailing Address - Street 2:
Mailing Address - City:VICENZA
Mailing Address - State:ITALY
Mailing Address - Zip Code:36100
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 1 CASERMA DEL DIN
Practice Address - Street 2:
Practice Address - City:VICENZA
Practice Address - State:ITALY
Practice Address - Zip Code:36100
Practice Address - Country:IT
Practice Address - Phone:016-254-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant