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NPI Code Detail

MEDICARE: LITONYA PALMER

MEDICARE: LITONYA PALMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse649032NY

General Provider Information

NPI Number : 1285015636
Entity Type Code : Individual
Provider Name (Legal Business Name) : LITONYA PALMER
Provider Business Mailing Address
First Line : 101-54 117TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10154 117TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1906
Country : US
Telephone Number : 718-846-4007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2015
Last Update Date : 06/11/2015

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Directions to “ LITONYA PALMER ” Practice Location

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