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Individual

DR. THOMAS JOSEPH PANICHELLA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
124 MAIN ST, HUNTINGTON, NY 11743
(631) 271-7136
(631) 271-0533
Mailing address
124 MAIN ST, HUNTINGTON, NY 11743
(631) 271-7136
(631) 271-0533

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
095076
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00157075
NY
01
215060
WORKERS COMPENSATION NO
NY
Enumeration date
10/13/2006
Last updated
03/07/2023
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