Individual provider · Type 1 NPI
Diane Panchak
Specialist · Riverhead, NY
NPI number
1003396839
Active
Practice location
18 Center Dr
Riverhead, NY 11901-1078
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 536926360 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003396839
Diane Panchak's National Provider Identifier is 1003396839, issued on Aug 21, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverhead, NY. The record was last updated on Aug 21, 2018.