Individual
DR. LUCY PONTRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2066 RICHMOND AVE, 1ST FL SUITE 1L, STATEN ISLAND, NY 10314-3960
(718) 982-9001
(718) 982-9008
Mailing address
2066 RICHMOND AVE, 1ST FL SUITE 1L, STATEN ISLAND, NY 10314-3960
(718) 982-9001
(718) 982-9008
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
204199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082039
—
NY
01
—
0B2121
EMPIRE BC.BS
NY
01
—
7654194
AETNA
NY
Enumeration date
06/14/2006
Last updated
11/16/2016
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