THOMAS PANETTA MD VASCULAR SURGERY PLLC NPI 1760640619

NPI Information

NPI: 1760640619
Provider Name: THOMAS PANETTA MD VASCULAR SURGERY PLLC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
600 NORTHERN BLVD
SUITE 115
GREAT NECK, NY
ZIP 11021
Phone: (516) 482-8220
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THOMAS PANETTA MD VASCULAR SURGERY PLLC is a vascular surgery surgery in Great Neck, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. THOMAS PANETTA MD VASCULAR SURGERY PLLC NPI is 1760640619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 NORTHERN BLVD
SUITE 115
GREAT NECK, NY
ZIP 11021
Phone: (516) 482-8220
Fax: (516) 482-8221

The provider's authorized official is Jennifer Byrnes .
The authorized official title is Billing Manager and has the following contact phone number (516) 482-8220.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 12/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	1379781	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00799404	MEDICAID	NEW YORK
2	A96888	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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