Basic Information
| Provider Information | |||||||||
| NPI: | 1649447335 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PALMIERI | ||||||||
| FirstName: | MARCO | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1101 STEWART AVE | ||||||||
| Address2: | |||||||||
| City: | GARDEN CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115304892 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165362800 | ||||||||
| FaxNumber: | 5168388595 | ||||||||
| Practice Location | |||||||||
| Address1: | 1101 STEWART AVE | ||||||||
| Address2: | |||||||||
| City: | GARDEN CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115304892 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165362800 | ||||||||
| FaxNumber: | 5168388595 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2008 | ||||||||
| LastUpdateDate: | 03/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 257244-1 | NY | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207L00000X | 257244-1 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.