National Provider Identifier
Grace Panebianco, M.D.
Grace Panebianco, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Jamestown, NY and a listed phone number of (716) 969-4659.
Profile Overview
- NPI
- 1821532169
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 06, 2016
- Last Updated
- December 06, 2016
Practice Location
- 20 Springdale Ave
- Jamestown, NY 14701-8528
Phone: (716) 969-4659
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1821532169
- Entity Type
- Individual
- Last Name
- Panebianco
- First Name
- Grace
- Name Prefix
- Mrs.
- Credential
- M.D.
- Provider Other Last Name
- Cerat
- Provider Other First Name
- Grace
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 20 Springdale Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-8528
- Mailing Country
- US
- Mailing Phone
- (716) 969-4659
- Practice Street Address
- 20 Springdale Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-8528
- Practice Country
- US
- Practice Phone
- (716) 969-4659
- Enumeration Date
- December 06, 2016
- Last Updated
- December 06, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)