Mozloom, Joanne Palumbo

Mozloom, Joanne Palumbo is an individual health care provider with primary practice located at 4350 Middle Settlement Rd , New Hartford NY 13413-5316. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mozloom, Joanne Palumbo can be contacted via phone (315) 733-2020.

Contact Information

Primary practice address
4350 Middle Settlement Rd New Hartford NY 13413-5316
Fax: (315) 735-3628
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T005231 New York

Profile Details

NPI number 1912986159
LBN Legal business name Mozloom, Joanne Palumbo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated May 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912986159 NPPES
New York MEDICAID 01879267

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