Individual
DR. NARENDRA PANESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33-57 HARRISON ST, PATHOLOGY DEPARTMENT, JOHNSON CITY, NY 13790-2107
(607) 763-6285
(607) 763-5410
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 763-6285
(607) 763-5410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
179258
NY
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
178014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
824081
BLUE CROSS PROVIDER#
NY
Enumeration date
02/10/2006
Last updated
07/15/2015
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