Provider Demographics
NPI:1376702621
Name:PANARELLI, NICOLE CARISA (MD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:CARISA
Last Name:PANARELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:CARISA
Other - Last Name:CASTANARO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:49 PARK AVE
Mailing Address - Street 2:APARTMENT 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3015
Mailing Address - Country:US
Mailing Address - Phone:212-746-2700
Mailing Address - Fax:
Practice Address - Street 1:49 PARK AVE
Practice Address - Street 2:APARTMENT 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3015
Practice Address - Country:US
Practice Address - Phone:212-746-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program