Individual
MRS. BEVERLY PANETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3914 15TH AVE, BROOKLYN, NY 11218-4410
(718) 853-9700
Mailing address
1331 E 34TH ST, BROOKLYN, NY 11210-4819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015074
NY
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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