Individual
DR. MIA PANCALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
122A W BUFFALO STREET, ITHACA, NY 14850-4132
(607) 275-0627
(607) 273-6271
Mailing address
122A W BUFFALO STREET, ITHACA, NY 14850-4132
(607) 275-0627
(607) 273-6271
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012409
NY
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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