Individual
MS. ALYCIA PONTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1028 MAIN ST FL 3, BUFFALO, NY 14202-1102
(716) 323-2000
Mailing address
1028 MAIN ST FL 3, BUFFALO, NY 14202-1102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
693433
NY
363LF0000X
Family Nurse Practitioner
Primary
352863
NY
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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