Individual
ERNESTO OMAR PANAMENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
102-33 JAMAICA AVENUE #1, RICHMOND HILL, NY 11418
(718) 846-4531
Mailing address
10233 JAMAICA AVE # 1, RICHMOND HILL, NY 11418-2010
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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