Provider Demographics
NPI:1336708965
Name:PALMA AND NARDOZZA DENTAL SERVICES
Entity Type:Organization
Organization Name:PALMA AND NARDOZZA DENTAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-468-1000
Mailing Address - Street 1:523 CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:SOLVAY
Mailing Address - State:NY
Mailing Address - Zip Code:13209-1791
Mailing Address - Country:US
Mailing Address - Phone:315-468-1000
Mailing Address - Fax:315-468-1696
Practice Address - Street 1:523 CHARLES AVE
Practice Address - Street 2:
Practice Address - City:SOLVAY
Practice Address - State:NY
Practice Address - Zip Code:13209-1791
Practice Address - Country:US
Practice Address - Phone:315-569-1126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty