Individual
DR. THOMAS FRANCIS PANICHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 MAIN ST, STE 9, HUNTINGTON, NY 11743
(631) 271-7136
(631) 271-0533
Mailing address
124 MAIN ST, STE 9, HUNTINGTON, NY 11743
(631) 271-7136
(631) 271-0533
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
194859
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194859
WORKERS' COMPENSATION
NY
Enumeration date
10/02/2006
Last updated
03/07/2023
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