Healthcare Provider Details

I. General information

NPI: 1811286032
Provider Name (Legal Business Name): CHRISTOPHER ROBERT PALMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2011
Last Update Date: 07/06/2023
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 PARRISH ST
CANANDAIGUA NY
14424-1728
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX MED
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-486-0901
  • Fax: 585-340-5399
Mailing address:
  • Phone: 585-486-0901
  • Fax: 585-340-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number269245
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: