Provider Demographics
NPI:1710982707
Name:PALMACCIO, FRANK JEFFREY (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JEFFREY
Last Name:PALMACCIO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8243 JERICHO TURNPIKE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1887
Mailing Address - Country:US
Mailing Address - Phone:516-367-8288
Mailing Address - Fax:516-367-8263
Practice Address - Street 1:8243 JERICHO TURNPIKE
Practice Address - Street 2:SUITE 150
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-1887
Practice Address - Country:US
Practice Address - Phone:516-367-8288
Practice Address - Fax:516-367-8263
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0448981223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics