Individual
DR. GAETANO PANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
Mailing address
43 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 938-3000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
252290
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2008
Last updated
08/26/2021
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