Most Relevant Information
Provider Data
| NPI Number: | 1003080482 |
| Provider Name: | PEDRO XAVIER PALACIOS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 012524 |
Most Important Dates
| Enumeration Date: | 04/16/2008 |
| Last Updated: | 01/10/2023 |
Provider Practice Location
5645 MAIN ST
FLUSHING
NY
113555045
Practice Location Phone/Fax
| Phone: | 7186701000 |
| Fax: |
Provider Mailing Location
171 E 17TH ST
HUNTINGTON STATION
NY
117463028
Provider Mailing Phone/Fax
| Phone: | 6313852145 |
| Fax: |