Individual
ANDRZEJ PANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 374-8700
(845) 374-8868
Mailing address
11 WAYNE DR, MIDDLETOWN, NY 10940-6682
(845) 374-8700
(845) 374-8868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
035081
NY
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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