Individual provider · Type 1 NPI

Andrew David Panetta

Surgical Physician Assistant · Bay Shore, NY

NPI number 1972979953 Active

Practice location

301 E Main St
Bay Shore, NY 11706

Call (631) 968-3000 Map

Mailing address

301 E Main St Dept Of
Bay Shore, NY 11706-8408

Specialties and licenses

TaxonomyCodeLicense
General Acute Care Hospital 282N00000X018922 (NY)
Surgical Physician Assistant Primary 363AS0400X018922 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1972979953

Andrew David Panetta's National Provider Identifier is 1972979953, issued on Aug 13, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 6, 2018.