SUSAN ELLEN PANES D.O.

Allergy and Immunology

Glen Cove, New York

Provider NPI: 1306831706

Provider Information:
 SUSAN ELLEN PANES D.O.


Practice Location:
32 VILLAGE SQ  GLEN COVE, NY 11542 US
Tel: 516-676-1111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	NY	183672
N	207KA0200X	Physicians Allergy & Immunology	NY	183672
N	207KI0005X	Physicians Allergy & Immunology	NY	183672

Other Provider Identifiers:

Issuer	Number	State	Type
HIP	183673	NY	01
GHI	6100677	NY	01
BLUE CROSS BLUE SHIELD	95G741	NY	01
AETNA US HEALTHCARE	5605676	NY	01
VYTRA	90553	NY	01
GHI MEDICARE	01454H	NY	01
HEALTHNET	2C0754	NY	01
MDNY	ON13091	NY	01
FIRST HEALTH	1049295	NY	01
CIGNA	0447024006	NY	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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