Individual
DR. RICHARD PANVINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2 MCLANE DR, DIX HILLS, NY 11746-5509
(631) 595-1511
(631) 595-1511
Mailing address
2 MCLANE DR, DIX HILLS, NY 11746-5509
(631) 595-1511
(631) 595-1511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182329
—
NY
Enumeration date
08/02/2005
Last updated
07/04/2010
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