Paul A Palange | New York, NY • PECOS Search

Paul A Palange

Dentist

Dental Providers

4951 Broadway, New York, NY 10034-2302

PECOS Enrollment

Based on the most recent information from CMS, provider Paul A Palange does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1609035476
Provider Type
Individual
Full Name
Palange, Paul A
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/5/2008
Last Updated
6/5/2008

Contact Information

Practice Location

4951 Broadway, New York, NY 10034-2302

Unlisted Fax

Mailing Location

4951 Broadway, New York, NY 10034-2302

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 038157 New York