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Contact Information

LUCY PONTRELLI, MD
2066 RICHMOND AVE
1ST FL SUITE 1L
STATEN ISLAND, NY10314-3960
 Phone: 718-982-9001
 Fax: 718-982-9008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LUCY PONTRELLI · (Female)

NPI Number 1770526113
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 11/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 204199
  • NY Medicaid 02082039
  • NY Other 7654194 AETNA
  • NY Other 0B2121 EMPIRE BC.BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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