Alexa Panebianco

NPI #1114617008 in Holbrook, New York

Provider Information

NPI Number: 1114617008
Entity Type: Individual
Name: Alexa Panebianco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 12, 2023
Last Updated: May 12, 2023

Practice Location

Address: 291 MURIEL ST
City: Holbrook
State: New York
ZIP Code: 11741-3819
Phone: (631) 972-8687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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