DIANE PANCHAK
NPI 1003396839
Specialist in Riverhead, NY
About Diane Panchak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE PANCHAK (NPI 1003396839) is an individual specialist in Riverhead, New York, licensed in New York (536926360) and active in the NPI registry since August 2018.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Diane Panchak's NPI number?
The NPI number for Diane Panchak is 1003396839. It was assigned to this individual provider in the NPPES registry on August 21, 2018.
Where is Diane Panchak located?
Diane Panchak practices at 18 Center Dr, Riverhead, NY 11901. The listed phone number is (631) 774-7767.
What is Diane Panchak's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Diane Panchak was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Diane Panchak · NPI 1003396839
Specialist provider in Riverhead, New York. Individual provider, active in the CMS NPPES registry since August 21, 2018.
## Identity
- **NPI:** 1003396839 (Entity type: Individual)
- **Enumerated:** August 21, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 536926360 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 18 CENTER DR, Riverhead, NY 11901-1078
- **Phone:** (631) 774-7767
## Record status
- **NPPES last updated:** August 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1003396839) · Data from the CMS NPPES public registry.