Individual
DR. WILLIAM N PANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13104 BROADWAY ST, ALDEN, NY 14004-1233
(716) 937-3310
(716) 937-4624
Mailing address
13104 BROADWAY ST, ALDEN, NY 14004-1233
(716) 937-3310
(716) 937-4624
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N003785-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000500510001
BLUE CROSS AND SHIELD
NY
01
—
0061529
GHI
NY
Enumeration date
01/29/2007
Last updated
07/09/2007
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