# PONTERIO & PESSOLANO, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205022308
- **Authorized official:** DR. JANE M PONTERIO M.D. (PRESIDENT)
- **Authorized official phone:** (718) 983-0204

## Contact information

- **Practice address:** 1583 RICHMOND AVE, STATEN ISLAND, NY 10314-1530
- **Practice address phone:** (718) 983-0204
- **Mailing address:** 1583 RICHMOND AVE, STATEN ISLAND, NY 10314-1530
- **Mailing address phone:** (718) 983-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 150736 | NY | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 12/27/2007