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NPI Code Detail

MEDICARE: MS. MARIA ANGELA PONTILLO RN

MEDICARE: MS. MARIA ANGELA PONTILLO RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse3457841NY

General Provider Information

NPI Number : 1831178185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA ANGELA PONTILLO RN
Provider Business Mailing Address
First Line : 21 BLOOMINGDALE RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-1504
Country : US
Telephone Number : 914-997-5753
Fax Number :
Provider Business Practice Location Address
First Line : 21 BLOOMINGDALE RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-1504
Country : US
Telephone Number : 914-997-5753
Fax Number : 914-997-5778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2006
Last Update Date : 09/25/2008

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