Basic Information
Provider Information
NPI: 1235129537
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PALMIERI
FirstName: DANNY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 133 CHURCH HILL RD
Address2: SUITE 2A
City: MC KEES ROCKS
State: PA
PostalCode: 151363279
CountryCode: US
TelephoneNumber: 4127221003
FaxNumber: 4127221024
Practice Location
Address1: 133 CHURCH HILL RD
Address2: SUITE 2A
City: MC KEES ROCKS
State: PA
PostalCode: 151363279
CountryCode: US
TelephoneNumber: 4127221003
FaxNumber: 4127221024
Other Information
ProviderEnumerationDate: 10/27/2005
LastUpdateDate: 10/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD067552PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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