Jeffrey M Panko, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Brooklyn, NY. Individual provider (NPI-1).
NPI number1497469860
StatusActive
Last updated in NPPESNov 10, 2024
Details
- NPI
- 1497469860
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey M Panko
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Nov 10, 2024
- Last updated
- Nov 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 406127 | NY | Yes |
Practice location
5911 23rd AveBrooklyn, NY 11204-2602
Phone 646-479-4522 · Fax 979-270-9082
Mailing address
5911 23rd AveBrooklyn, NY 11204-2602
Phone 646-549-5694 · Fax 979-270-9082
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