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Individual
ANDREW DAVID PANETTA
Active
Individual
ANDREW DAVID PANETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
018922
NY
363AS0400X
Surgical Physician Assistant
Primary
018922
NY
Other
Enumeration date
08/13/2015
Last updated
06/06/2018
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