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General NPI Number Information
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NPI Number | 1891924742
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Entity Type | Organization
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Legal Business Name | PALLIATIVE MEDICINE OF NEW YORK, PLLC
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 26 SHADY LN
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City | SOUTH SALEM
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State | NY
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Zip | 10590-1932
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Country | US
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Telephone | 914-533-2290
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Fax | 718-960-4517
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Provider Business Mailing Address
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Address Line | 26 SHADY LN
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City | SOUTH SALEM
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State | NY
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Zip | 10590-1932
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Country | US
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Telephone | 914-533-2290
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Fax | 718-960-4517
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOSEPH SACCO
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Credential | MD
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Telephone | 914-533-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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