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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NY183672
N207KA0200XPhysicians
Allergy & Immunology
NY183672
N207KI0005XPhysicians
Allergy & Immunology
NY183672

Other Provider Identifiers:

IssuerNumberStateType
HIP183673NY01
GHI6100677NY01
BLUE CROSS BLUE SHIELD95G741NY01
AETNA US HEALTHCARE5605676NY01
VYTRA90553NY01
GHI MEDICARE01454HNY01
HEALTHNET2C0754NY01
MDNYON13091NY01
FIRST HEALTH1049295NY01
CIGNA0447024006NY01
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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