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NPI Code Detail

MEDICARE: PALMER EYE CARE & LASER CENTER

MEDICARE: PALMER EYE CARE & LASER CENTER
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
1305R00000XPreferred Provider Organization095537NY

General Provider Information

NPI Number : 1174898753
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALMER EYE CARE & LASER CENTER
Provider Business Mailing Address
First Line : 100 CASALS PL
Second Line :
City : BRONX
State : NY
Zip : 10475-3002
Country : US
Telephone Number : 718-671-8888
Fax Number : 718-671-8889
Provider Business Practice Location Address
First Line : 100 CASALS PL
Second Line :
City : BRONX
State : NY
Zip : 10475-3002
Country : US
Telephone Number : 718-671-8888
Fax Number : 718-671-8889
Authorized Official
Title or Position : OPHTHALMOLOGY
Name : DR. EDWARD PALMER JR.
Credential : M.D.
Telephone Number : 718-671-8888
Provider Enumeration Date : 03/15/2012
Last Update Date : 03/15/2012

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Directions to “PALMER EYE CARE & LASER CENTER ” Practice Location

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