Individual
DR. PARTH PANCHOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7300
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
311103
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
311103
NY
207RP1001X
Pulmonary Disease Physician
311103
NY
Other
Enumeration date
03/19/2019
Last updated
06/17/2025
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