Individual
DR. LAURA A. PONTRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
239 N BROADWAY STE 1, SLEEPY HOLLOW, NY 10591-2654
(914) 332-1769
(914) 332-1769
Mailing address
239 N BROADWAY STE 1, SLEEPY HOLLOW, NY 10591-2654
(914) 332-1769
(914) 332-1769
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012770-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007994429
AETNA
NY
01
—
012770-4
WORKERS COMP
NY
01
—
285076
MHN
NY
01
—
6135269
UNITED BEHAVIORAL HEALTH
NY
01
—
P2126970
OXFORD
NY
01
—
V83711
EMPIRE BLUE CROSS
NY
Enumeration date
12/15/2006
Last updated
07/08/2007
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