Individual
CARMEN DENISE PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
460 W 150TH ST, NEW YORK, NY 10031-2707
(212) 234-6336
Mailing address
PO BOX 1758, NEW YORK, NY 10027-1758
(212) 234-6336
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
169868
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645196
—
NY
Enumeration date
08/23/2005
Last updated
02/25/2010
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