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NPI Code Detail

MEDICARE: ANN MARIE PALERMO MD

MEDICARE:   ANN MARIE  PALERMO  MD
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
1208000000XPediatrics Physician134326NY

General Provider Information

NPI Number : 1548444763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MARIE PALERMO MD
Provider Business Mailing Address
First Line : 349 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5603
Country : US
Telephone Number : 718-993-7700
Fax Number : 718-993-2092
Provider Business Practice Location Address
First Line : 349 E 149TH ST
Second Line : CARDINAL MCCLOSKEY SERVICES, 8TH FLOOR
City : BRONX
State : NY
Zip : 10451-5603
Country : US
Telephone Number : 718-993-7700
Fax Number : 718-993-2092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2007
Last Update Date : 12/24/2007

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