Palermo, Andrea S.
Palermo, Andrea S. is an individual health care provider with primary practice located at 1125 Atlantic Ave , Atlantic City NJ 08401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Palermo, Andrea S. can be contacted via phone (609) 348-0066.Contact Information
Primary practice address
1125 Atlantic Ave
Atlantic City NJ 08401
Phone: (609) 348-0066
Fax: (609) 348-1157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MB06634300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB06634300 | New Jersey |
Profile Details
| NPI number | 1972687085 |
|---|---|
| LBN Legal business name | Palermo, Andrea S. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jun 4th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972687085 | NPPES |
| New York | MEDICAID | 02588172 | |
| New York | MEDICAID | 7666021 | |
| New York | MEDICAID | 001776870 | |
| New York | MEDICAID | 8255300 |
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