MEDICARE: SARGAM PANPALIYA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		NY

General Provider Information

NPI Number	:	1508713389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARGAM PANPALIYA

Provider Business Mailing Address
First Line	:	24 BUCKNELL LN
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2522
Country	:	US
Telephone Number	:	224-475-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 BUCKNELL LN
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2522
Country	:	US
Telephone Number	:	224-475-1994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1184857336 — MS. JANELLE LYNN TYCHNOWITZ RN, CPN, PNP
Practice Location Address:

PO BOX 1559
STONY BROOK, NY
11790-0989

Practice Phone: 631-444-0650
Practice Fax:

1477556025 — MARC YLAND MD
Practice Location Address:

2500 NESCONSET HWY , BLDG 24C
STONY BROOK, NY
11790-2598

Practice Phone: 631-941-0187
Practice Fax: 631-689-3814

1114920436 — DR. SHAFI WANI M.D.
Practice Location Address:

2500 NESCONSET HWY , BLDG 15H
STONY BROOK, NY
11790-2554

Practice Phone: 631-689-3005
Practice Fax: 631-689-1750

1730183229 — MS. ANNE L REINHART APRN,BC
Practice Location Address:

2500 RTE 347 , BLDG 14A
STONY BROOK, NY
11790-2554

Practice Phone: 631-689-7800
Practice Fax: 631-689-3016

1184621724 — STATE OF NEW YORK COMPTROLLERS OFFICE
Practice Location Address:

100 PATRIOTS RD
STONY BROOK, NY
11790-3318

Practice Phone: 631-444-8500
Practice Fax: 631-444-8575

1205833704 — DR. BROOKE CAROL MOORE M.D.
Practice Location Address:

2500 ROUTE 347 , BLDG 14A
STONY BROOK, NY
11790-2554

Practice Phone: 631-689-7800
Practice Fax: 631-689-3016

Directions to “ SARGAM PANPALIYA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.