Organization
PONTERIO & PESSOLANO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE M PONTERIO M.D. (PRESIDENT)
(718) 983-0204
Entity
Organization
Contact information
Practice address
1583 RICHMOND AVE, STATEN ISLAND, NY 10314-1530
(718) 983-0204
Mailing address
1583 RICHMOND AVE, STATEN ISLAND, NY 10314-1530
(718) 983-0204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
150736
NY
Other
Enumeration date
09/21/2007
Last updated
12/27/2007
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