Individual provider · Type 1 NPI

Philip D. Pane, PA-C

Surgical Physician Assistant · Staten Island, NY

NPI number 1306113790 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Call (718) 818-1234 Map

Mailing address

1 Smith Ct
Staten Island, NY 10314-2819

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002457-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1306113790

Philip D. Pane, PA-C's National Provider Identifier is 1306113790, issued on Nov 29, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 29, 2011.