Provider Demographics
NPI:1710395843
Name:PALMER INDUSTRIES, INC.
Entity Type:Organization
Organization Name:PALMER INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-754-2907
Mailing Address - Street 1:PO BOX 5707
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13763-5707
Mailing Address - Country:US
Mailing Address - Phone:607-754-2907
Mailing Address - Fax:607-754-1954
Practice Address - Street 1:509 PADEN ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-4631
Practice Address - Country:US
Practice Address - Phone:607-754-2907
Practice Address - Fax:607-754-1954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment