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General NPI Number Information
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NPI Number | 1861153884
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Entity Type | Organization
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Legal Business Name | ELOISE PALMISANO RN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 268 BROADWAY STE 202
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-4271
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Country | US
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Telephone | 518-741-6111
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Fax | 518-450-1042
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Provider Business Mailing Address
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Address Line | 268 BROADWAY STE 202
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-4271
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Country | US
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Telephone | 518-257-2443
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Fax | 518-450-1052
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Authorized Official
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Title or Position | MGR/OWNER
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Name | ELOISE PALMISANO RN NPP
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Credential | NPP
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Telephone | 518-257-2443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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