Organization
WILLIAM N PANEK DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PANEK (DPM)
(716) 937-3310
Entity
Organization
Contact information
Practice address
13104 BROADWAY ST, ALDEN, NY 14004-1233
(716) 937-3310
Mailing address
13104 BROADWAY ST, ALDEN, NY 14004-1233
(716) 937-3310
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N003785-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00854797
—
NY
Enumeration date
01/14/2008
Last updated
01/14/2008
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