JACQUELINE PANDOLFI, NP, Women's Health PORT JEFFERSON STATION, NY

Contact Information

JACQUELINE PANDOLFI, NP

12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776-1588

Phone: 631-331-4400
Fax: 631-331-3190
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Women's Health	363LW0102X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JACQUELINE PANDOLFI · (Female)

NPI Number	`1225197866`
Status	Active
Credentials	NP (Nurse Practitioner)
Entity	Individual
Enumeration date	12/08/2006
Last updated	01/14/2021 - About 5 years ago
Sole proprietor ¹	No
Identifiers	NY License # 388956-1 NY Medicaid 388956
Hospital affiliation(s)	BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care) 101 HOSPITAL ROAD PATCHOGUE, NY 11772 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care) 75 NORTH COUNTRY ROAD PORT JEFFERSON, NY 11777

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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JACQUELINE PANDOLFI, NP – NPI #1225197866Women's Health

Contact Information

Specialty

Women's Health

NPI Profile & details for JACQUELINE PANDOLFI · (Female)

Reviews for JACQUELINE PANDOLFI

JACQUELINE PANDOLFI, NP – NPI #1225197866
Women's Health