Individual
DR. THOMAS PANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021-5206
(516) 482-8220
(516) 482-8221
Mailing address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021-5206
(516) 482-8220
(516) 482-8221
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
137978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00799404
—
NY
Enumeration date
12/30/2005
Last updated
12/04/2023
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