Healthcare Provider Details

I. General information

NPI: 1598210049
Provider Name (Legal Business Name): BRITTNY KRYSTYNE PANY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PARK AVE S
NEW YORK NY
10003-1603
US

IV. Provider business mailing address

5525 WILLOW WAY
OREFIELD PA
18069-9031
US

V. Phone/Fax

Practice location:
  • Phone: 646-602-8237
  • Fax:
Mailing address:
  • Phone: 610-597-3815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340418
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: