Provider Demographics
NPI:1194086991
Name:PALMITER, SHEILA (MS SPED)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PALMITER
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 FIVE CORNERS RD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:NY
Mailing Address - Zip Code:14855-9756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2600 FIVE CORNERS RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:NY
Practice Address - Zip Code:14855-9756
Practice Address - Country:US
Practice Address - Phone:607-738-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist