Provider Demographics
NPI:1871805267
Name:PALMIERI, MARY (MS, OT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:PALMIERI
Suffix:
Gender:F
Credentials:MS, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 DARWIN AVE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1811
Mailing Address - Country:US
Mailing Address - Phone:914-478-0240
Mailing Address - Fax:914-478-2677
Practice Address - Street 1:41 DARWIN AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1811
Practice Address - Country:US
Practice Address - Phone:914-478-0240
Practice Address - Fax:914-478-2677
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002351-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist