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Contact Information

TERRY PONTINO, NP
475 E MAIN ST
EAST PATCHOGUE, NY11772
 Phone: 631-475-7700
 Fax: 631-307-9911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TERRY PONTINO · (Female)

NPI Number 1093089542
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/01/2012
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 431103
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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