Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 298332 | NY |
NPI | 1003233420 |
---|---|
Provider Name | Dr. Thomas Roy Palaia |
First Address | Freeport, NY 11520-3714 |
Second Address | Freeport, NY 11520-3714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 07/04/2021 |