Panetta, Thomas

Panetta, Thomas is an individual health care provider with primary practice located at 600 Northern Blvd Suite 115, Great Neck NY 11021-5206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Panetta, Thomas can be contacted via phone (516) 482-8220.

Contact Information

Primary practice address
600 Northern Blvd Suite 115 Great Neck NY 11021-5206
Phone: (516) 482-8220
Fax: (516) 482-8221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 137978 New York

Profile Details

NPI number 1184601072
LBN Legal business name Panetta, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184601072 NPPES
New York MEDICAID 00799404

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