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NPI Code Detail

MEDICARE: LENORE PALLADINO RN

MEDICARE: LENORE PALLADINO RN
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
1163W00000XRegistered Nurse360918NY

General Provider Information

NPI Number : 1821534561
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENORE PALLADINO RN
Provider Business Mailing Address
First Line : 570 N PEARL ST
Second Line :
City : MENANDS
State : NY
Zip : 12204-1659
Country : US
Telephone Number : 518-475-6805
Fax Number : 518-475-6802
Provider Business Practice Location Address
First Line : 570 N PEARL ST # M
Second Line :
City : MENANDS
State : NY
Zip : 12204-1659
Country : US
Telephone Number : 518-475-6805
Fax Number : 518-475-6802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2017
Last Update Date : 01/18/2017

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