# SUSAN ELLEN PANES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306831706
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 183672 | NY | Yes |
| 207KA0200X | Allergy Physician | 183672 | NY | — |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 183672 | NY | — |

## Other

- **Enumeration date:** 09/13/2005
- **Last updated:** 07/12/2011