Provider Demographics
NPI:1932711157
Name:APOLLO N PALOMARES MD PC
Entity Type:Organization
Organization Name:APOLLO N PALOMARES MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:APOLLO
Authorized Official - Middle Name:N
Authorized Official - Last Name:PALOMARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-547-2854
Mailing Address - Street 1:78 LAFAYETTE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5551
Mailing Address - Country:US
Mailing Address - Phone:845-547-2854
Mailing Address - Fax:833-989-0994
Practice Address - Street 1:78 LAFAYETTE AVE STE 100
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5551
Practice Address - Country:US
Practice Address - Phone:845-547-2854
Practice Address - Fax:833-989-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty