Individual
JULIO A. PANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 909-6900
(914) 493-2828
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
273421
NY
207RC0000X
Cardiovascular Disease Physician
MD32667
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025782600
—
DC
05
—
330751401
—
MD
05
—
5854288
—
VA
Enumeration date
05/10/2006
Last updated
11/29/2021
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