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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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