Provider Demographics
NPI:1043313307
Name:PALUMBO, STEVEN KEITH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KEITH
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 MONTAUK HIGHWAY
Mailing Address - Street 2:P.O. BOX 1609
Mailing Address - City:QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11959-1609
Mailing Address - Country:US
Mailing Address - Phone:631-653-6112
Mailing Address - Fax:631-653-5899
Practice Address - Street 1:25 MONTAUK HIGHWAY
Practice Address - Street 2:
Practice Address - City:QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11959-1609
Practice Address - Country:US
Practice Address - Phone:631-653-6112
Practice Address - Fax:631-653-5899
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY135296208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery