Provider Demographics
NPI:1700857323
Name:PALMER, DEBBIE MERAL (DO)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:MERAL
Last Name:PALMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 MAMARONECK AVE STE 412
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-2418
Mailing Address - Country:US
Mailing Address - Phone:914-777-1799
Mailing Address - Fax:914-777-1899
Practice Address - Street 1:440 MAMARONECK AVE STE 412
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-2418
Practice Address - Country:US
Practice Address - Phone:914-777-1799
Practice Address - Fax:914-777-1899
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217867207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3K0041Medicare ID - Type Unspecified
NYH88226Medicare UPIN