Pantig, Emidio R

Pantig, Emidio R is an individual health care provider with primary practice located at 6865 Fresh Pond Rd , Ridgewood NY 11385-5263. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pantig, Emidio R can be contacted via phone (718) 456-8200.

Contact Information

Primary practice address
6865 Fresh Pond Rd Ridgewood NY 11385-5263
Phone: (718) 456-8200
Fax: (718) 366-7586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 158443 New York

Profile Details

NPI number 1134174048
LBN Legal business name Pantig, Emidio R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1134174048 NPPES
New York Other 0061091 GHI PROVIDER NUMBER
New York MEDICAID 00840400 GHI PROVIDER NUMBER

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