Individual
RICHARD WINGATE PANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
215 WEST 125TH ST, RENAISSANCE HCN 2ND FLOOR, NEW YORK, NY 10027
(212) 932-6514
Mailing address
875 BOYNTON AVENUE, #2K, BRONX, NY 10473-4748
(718) 378-0735
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0026771
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00406184
—
NY
Enumeration date
11/22/2006
Last updated
07/08/2007
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