Provider Demographics
NPI:1902984388
Name:PALUMBO, ALBERT FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:FRANK
Last Name:PALUMBO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:382 FORESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1461
Mailing Address - Country:US
Mailing Address - Phone:716-636-0521
Mailing Address - Fax:
Practice Address - Street 1:2810 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9419
Practice Address - Country:US
Practice Address - Phone:716-834-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT004170152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist