Pandolfi, Vincent

Pandolfi, Vincent is an individual health care provider with primary practice located at 620 Cross Keys Office Park , Fairport NY 14450-3508. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pandolfi, Vincent can be contacted via phone (585) 223-5920.

Contact Information

Primary practice address
620 Cross Keys Office Park Fairport NY 14450-3508
Fax: (585) 223-5727
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 014003 New York

Profile Details

NPI number 1588767636
LBN Legal business name Pandolfi, Vincent
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 21st, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588767636 NPPES
New York Other 7311349 AETNA
New York Other P010014003 AETNA
New York Other P020014003 AETNA

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