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Organization
JACQUELINE PONTICIELLO PSYCHIATRIC NP, PLLC
Active
Organization
JACQUELINE PONTICIELLO PSYCHIATRIC NP, PLLC
Active
Other names
Aspect Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ANN PONTICIELLO NP (OWNER)
(607) 341-4950
Entity
Organization
Contact information
Practice address
1901 VESTAL PKWY E STE 2W, VESTAL, NY 13850-1966
(607) 341-4950
(607) 341-4933
Mailing address
1901 VESTAL PKWY E STE 2W, VESTAL, NY 13850-1966
(607) 341-4950
(607) 341-4933
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
09/28/2024
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