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General NPI Number Information
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NPI Number | 1386048916
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Entity Type | Individual
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Provider Name | AMY PALERMO NP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 4815 11TH ST 10F
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5560
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Country | US
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Telephone | 917-903-1067
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Fax |
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Provider Business Mailing Address
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Address Line | 530 1ST AVE SKIRBALL 8R
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City | NEW YORK
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-501-2360
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F338713-1
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License Number State | NY
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