Provider Demographics
NPI:1366486995
Name:PANZER, ARNOLD DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:DAVID
Last Name:PANZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 SUNRISE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703
Mailing Address - Country:US
Mailing Address - Phone:631-587-6060
Mailing Address - Fax:631-587-1364
Practice Address - Street 1:986 SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703
Practice Address - Country:US
Practice Address - Phone:631-587-6060
Practice Address - Fax:631-587-1364
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110024306OtherRAILROAD MEDICARE
NY110024306OtherRAILROAD MEDICARE
NYA63860Medicare UPIN