Provider Demographics
NPI:1821534561
Name:PALLADINO, LENORE (RN)
Entity Type:Individual
Prefix:
First Name:LENORE
Middle Name:
Last Name:PALLADINO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 N PEARL ST
Mailing Address - Street 2:
Mailing Address - City:MENANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1659
Mailing Address - Country:US
Mailing Address - Phone:518-475-6805
Mailing Address - Fax:518-475-6802
Practice Address - Street 1:570 N PEARL ST # M
Practice Address - Street 2:
Practice Address - City:MENANDS
Practice Address - State:NY
Practice Address - Zip Code:12204-1659
Practice Address - Country:US
Practice Address - Phone:518-475-6805
Practice Address - Fax:518-475-6802
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360918163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse