Palacios, Antonio
Palacios, Antonio is an individual health care provider with primary practice located at 56 Hamilton St Sjrmc Mental Health Clinic, Paterson NJ 07505-2003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Palacios, Antonio can be contacted via phone (973) 754-4750.Contact Information
Primary practice address
56 Hamilton St Sjrmc Mental Health Clinic
Paterson NJ 07505-2003
Phone: (973) 754-4750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA07498400 | New Jersey |
Profile Details
| NPI number | 1407893340 |
|---|---|
| LBN Legal business name | Palacios, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407893340 | NPPES |
| New Jersey | MEDICAID | 0038067 |
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