PHILIP D PANE

STATEN ISLAND, NY
NPI1306113790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  002457-1)
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
-- PHILIP D PANE PA-C
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
Mailing Address
-- PHILIP D PANE PA-C
1 SMITH CT
STATEN ISLAND, NY 10314-2819
Phone number: 917-842-8189
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