Provider Demographics
NPI:1861935678
Name:PALMERI, JOSEPH SALVATORE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:SALVATORE
Last Name:PALMERI
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-2614
Mailing Address - Country:US
Mailing Address - Phone:718-647-5204
Mailing Address - Fax:
Practice Address - Street 1:1 WELLS ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-2614
Practice Address - Country:US
Practice Address - Phone:718-647-5204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2549544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist