Individual
DR. JACQUELINE SUZANNE PANZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-5807
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 997-5807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
267097
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2009
Last updated
02/07/2016
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