Provider Demographics
NPI:1730473943
Name:PALUMBOKATZ, JANET
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:PALUMBOKATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ANTHONY ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2068
Mailing Address - Country:US
Mailing Address - Phone:718-608-0107
Mailing Address - Fax:
Practice Address - Street 1:115 ANTHONY ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2068
Practice Address - Country:US
Practice Address - Phone:718-608-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist