Provider Demographics
NPI:1861373664
Name:PALOMBI, ANTHONY M (LMHC)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:M
Last Name:PALOMBI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 CORNELIUS AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3249
Mailing Address - Country:US
Mailing Address - Phone:609-354-8518
Mailing Address - Fax:
Practice Address - Street 1:1800 CORNELIUS AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3249
Practice Address - Country:US
Practice Address - Phone:609-354-8518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016712101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health