Individual
MR. JOHN PANICALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
420 ROUTE 34 STE 331, COLTS NECK, NJ 07722-2517
(324) 620-0497
(324) 620-0597
Mailing address
420 ROUTE 34 STE 331, COLTS NECK, NJ 07722-2517
(732) 462-0049
(718) 462-0059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00428800
NJ
111N00000X
Chiropractor
X4379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C043796W
WC
NY
Enumeration date
06/13/2005
Last updated
08/03/2020
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