Individual
MR. JEFFREY CHARLES PACCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8806 55TH AVE, ELMHURST, NY 11373-4437
(718) 271-9730
(718) 760-6525
Mailing address
140 EAST 80TH ST, NEW YORK, NY 10075-0306
(212) 772-0600
(212) 517-8028
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
188973
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
188943
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01589959
—
NY
Enumeration date
09/02/2005
Last updated
09/16/2021
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