Doctor Name: | MS. LIZA A PALMER |
NPI Number: | 1306869011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 335002 |
Business Practice Address: | 1345 New Scotland Rd Slingerlands, NY - 121597216 |
Business Phone Number: | 5184398555 |
Business Fax Number: | 5184398145 |
Mailing Address: | 1345 New Scotland Rd, SLINGERLANDS |
State: | NY |
Postal Code: | 121597216 |
Phone Number: | 5184398555 |
Fax Number: | 5184398145 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 335002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |