Individual
DOREEN PANZARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
STONY BROOK MEDICINE DEPT OF OBGYN, HSC, T9, 101 NICHOLS ROAD, STONY BROOK, NY 11794-8091
(631) 444-4686
(631) 444-4622
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4686
(631) 444-4622
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
302875-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2016
Last updated
05/27/2020
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