Provider Demographics
NPI:1649288200
Name:PALMER, WILLIAM F (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:PALMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-3107
Mailing Address - Country:US
Mailing Address - Phone:631-595-2010
Mailing Address - Fax:631-595-1415
Practice Address - Street 1:1105 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-3107
Practice Address - Country:US
Practice Address - Phone:631-595-2010
Practice Address - Fax:631-595-1415
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor