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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
1041C0700X
Clinical Social Worker
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/09/2016
Last updated
09/28/2024
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