Individual ProviderNicholas PalamidessiEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressDept Of Emergency Medicine Stony, Hsc L4, Rm 080, Stony Brook, NY 11794-0001(631) 444-2478(917) 992-5796PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas Palamidessi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1386815611Provider TypeIndividualFull NamePalamidessi, NicholasCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date3/14/2008Last Updated4/15/2009Contact InformationPractice LocationPractice AddressDept Of Emergency Medicine Stony, Hsc L4, Rm 080, Stony Brook, NY 11794-0001Phone(631) 444-2478FaxUnlisted FaxMailing LocationMailing Address45 Wall St, Apt 617, New York, NY 10005-1918Phone(917) 992-5796FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense248032New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer