Provider Demographics
NPI:1174555825
Name:PALMA, SCOTT (MA CFA)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:PALMA
Suffix:
Gender:M
Credentials:MA CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 406153
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-1876
Mailing Address - Country:US
Mailing Address - Phone:631-789-1794
Mailing Address - Fax:631-789-1867
Practice Address - Street 1:355 BROADWAY STE 4
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2715
Practice Address - Country:US
Practice Address - Phone:631-789-1794
Practice Address - Fax:631-789-1867
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000021130231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYM7708M0132Medicare PIN