Individual
DR. GERALD A PANTOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1430 BROADWAY RM 1510, NEW YORK, NY 10018-3368
(212) 262-2850
Mailing address
70 AMACKASSIN TER, YONKERS, NY 10703-2214
(217) 823-5399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
024761
NY
103TC0700X
Clinical Psychologist
Primary
024761
NY
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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