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Individual
NICHOLAS PANARO
Active
Individual
NICHOLAS PANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193022
NY
208VP0000X
Pain Medicine Physician
61173
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260051518
RAILROAD MEDICARE
NY
01
—
P00017559
RAILROAD MEDICARE
NY
01
—
WCJ511
MEDICARE
NY
Enumeration date
07/07/2006
Last updated
02/07/2019
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