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Organization

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Organization subpart
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Provider details

NPI number
Authorized official
GENA PANATIERI (OWNER)
(570) 790-9699
Entity
Organization

Contact information

Practice address
16 S RIVER ST STE 415, WILKES BARRE, PA 18702-2406
(570) 790-9699
Mailing address
2810 RIVERBY RD APT 446, HOUSTON, TX 77020-2069
(570) 790-9699

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
02/10/2023
Last updated
10/10/2025
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