Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 2307461 | NY |
NPI | 1023280526 |
---|---|
Provider Name | Gregory T Pontone |
First Address | Garden City, NY 11530-1141 |
Second Address | New Hyde Park, NY 11042-1017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 08/10/2013 |