Jonathan Palumbo
Specialist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1235852575
StatusActive
Last updated in NPPESSep 21, 2022
Details
- NPI
- 1235852575
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Palumbo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2022
- Certification date
- Sep 20, 2022
- Last updated
- Sep 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
545 Bay Ridge PkwyBrooklyn, NY 11209-3309
Phone 718-836-2127
Mailing address
49 Sheraden AveStaten Island, NY 10314-4445
Phone 917-575-3472
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