person
Jacqueline Ann Ponticiello, NPP,FNP
Psychiatric/Mental Health Nurse Practitioner in Vestal, New York
NPI 1588977763

Jacqueline Ann Ponticiello is a Psychiatric/Mental Health Nurse Practitioner based in Vestal, NY and is specialized in Psychiatric/Mental Health. Jacqueline Ann Ponticiello practices in Vestal, NY and has the professional credentials of NPP,FNP. The NPI Number for Jacqueline Ann Ponticiello is 1588977763 and holds a License No. F336411 (New York).

The current practice location address for Jacqueline Ann Ponticiello is 1901 Vestal Pkwy E Ste 2W, Vestal, NY and can be reached out via phone at 607-341-4950 and via fax at 607-341-4933.

Location: 1901 Vestal Pkwy E Ste 2W, Vestal, NY, 13850-1966
person
Provider Profile Details
NPI Number
1588977763
Provider Name
Jacqueline Ann Ponticiello
Credential
NPP,FNP
Provider Entity Type
Individual
Gender
Female
Address
1901 Vestal Pkwy E Ste 2W, Vestal, NY, 13850-1966
Phone Number
607-341-4950
Fax Number
607-341-4933
Provider Enumeration Date
07/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03240966 05 NY
institution
Provider Business Practice Location Address Details
Address
1901 Vestal Pkwy E Ste 2W
City
State
Zip
13850-1966
Phone Number
607-341-4950
Fax Number
607-341-4933
person
Provider Business Mailing Address Details
Address
1901 Vestal Pkwy E Ste 2W
City
State
Zip
13850-1966
Phone Number
607-341-4950
Fax Number
607-341-4933
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
402886 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F336411 (New York)
Definition
Definition to come...
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