Panebianco, Richard J

Panebianco, Richard J is an individual health care provider with primary practice located at 325 Meeting House Ln Bldg #2 Suite 403, Southampton NY 11968-5087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Panebianco, Richard J can be contacted via phone (631) 283-2100.

Contact Information

Primary practice address
325 Meeting House Ln Bldg #2 Suite 403 Southampton NY 11968-5087
Phone: (631) 283-2100
Fax: (631) 283-5731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1244511 New York

Profile Details

NPI number 1073570776
LBN Legal business name Panebianco, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 28th, 2010 - about 14 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 1073570776 NPPES
New York MEDICAID 00653338

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