Individual
JOANNE E PANTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
550 ORCHARD PARK RD, STE B103, WEST SENECA, NY 14224-2646
(716) 677-5005
(716) 712-0160
Mailing address
550 ORCHARD PARK RD, STE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3032111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026529201
UNIVERA HEALTHCARE
NY
01
—
000560652001
BLUE CROSS BLUE SHIELD
NY
05
—
02202477
—
NY
01
—
500023938
RAILROAD MEDICARE
—
01
—
9511997
INDEPENDENT HEALTH
NY
Enumeration date
12/14/2005
Last updated
11/09/2012
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