Provider Demographics
NPI:1760147193
Name:PAL SYSTEMS INC
Entity Type:Organization
Organization Name:PAL SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:HALL
Authorized Official - Last Name:FENTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD FACP
Authorized Official - Phone:757-289-8273
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14775-0749
Mailing Address - Country:US
Mailing Address - Phone:757-289-8273
Mailing Address - Fax:
Practice Address - Street 1:1313 CRANE CRES
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5662
Practice Address - Country:US
Practice Address - Phone:757-289-8273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch