Provider Demographics
NPI:1730319344
Name:PALMER, SHANI K (MD, FACS, FASCRS)
Entity Type:Individual
Prefix:DR
First Name:SHANI
Middle Name:K
Last Name:PALMER
Suffix:
Gender:F
Credentials:MD, FACS, FASCRS
Other - Prefix:
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Mailing Address - Street 1:20 CEDAR ST FL 3
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5260
Mailing Address - Country:US
Mailing Address - Phone:914-534-5124
Mailing Address - Fax:914-534-5198
Practice Address - Street 1:20 CEDAR ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5260
Practice Address - Country:US
Practice Address - Phone:914-534-5124
Practice Address - Fax:914-534-5198
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY261990208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery