Provider Demographics
NPI:1598001547
Name:GF PANARIELLO MDPC
Entity Type:Organization
Organization Name:GF PANARIELLO MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PANARIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-236-4186
Mailing Address - Street 1:1448 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3429
Mailing Address - Country:US
Mailing Address - Phone:718-236-4186
Mailing Address - Fax:718-837-0431
Practice Address - Street 1:1448 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3429
Practice Address - Country:US
Practice Address - Phone:718-236-4186
Practice Address - Fax:718-837-0431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0969921207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB14751Medicare UPIN