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Organization

THOMAS PANETTA MD VASCULAR SURGERY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER BYRNES (BILLING MANAGER)
(516) 482-8220
Entity
Organization

Contact information

Practice address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021
(516) 482-8220
(516) 482-8221
Mailing address
600 NORTHERN BLVD, SUITE 115, GREAT NECK, NY 11021
(516) 482-8220
(516) 482-8221

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1379781
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00799404
NY
Enumeration date
05/28/2008
Last updated
12/09/2011
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