Pancaldo, Mia
Pancaldo, Mia is an individual health care provider with primary practice located at 122A W Buffalo Street , Ithaca NY 14850-4132. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Pancaldo, Mia can be contacted via phone (607) 275-0627.Contact Information
Primary practice address
122A W Buffalo Street
Ithaca NY 14850-4132
Phone: (607) 275-0627
Fax: (607) 273-6271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 012409 | New York |
Profile Details
| NPI number | 1154417103 |
|---|---|
| LBN Legal business name | Pancaldo, Mia |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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