Provider Demographics
NPI:1205306503
Name:COMUNALE, DANIEL LUIGI (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LUIGI
Last Name:COMUNALE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MOUNT BETHEL PLZ
Mailing Address - Street 2:
Mailing Address - City:MOUNT BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:18343-5212
Mailing Address - Country:US
Mailing Address - Phone:570-234-0995
Mailing Address - Fax:
Practice Address - Street 1:622 FOX GAP RD
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-5833
Practice Address - Country:US
Practice Address - Phone:610-393-2570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADC011424OtherNP