Panvini, Richard

Panvini, Richard is an sole proprietor health care provider with primary practice located at 2 Mclane Dr , Dix Hills NY 11746-5509. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Panvini, Richard can be contacted via phone (631) 595-1511.

Contact Information

Primary practice address
2 Mclane Dr Dix Hills NY 11746-5509
Fax: (631) 595-1511
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004421 New York

Profile Details

NPI number 1013918846
LBN Legal business name Panvini, Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2005
Last updated Jul 4th, 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 1013918846 NPPES
New York MEDICAID 01182329

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