Jennifer Pantoliano
Jennifer Pantoliano is a Nurse Practitioner in Stony Brook, New York. Qualified in 2016, 10 years ago. Practices with North Shore Hematology Oncology Associates PC, a 473-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 10
- Licensed in
- NY
- In the registry since
- 2016
Practice location Address checks out
2500 Route 347 Bldg 14AStony Brook, NY 11790-2554
Phone: (631) 689-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 308041 (NY) |
|---|
Record details
| NPI number | 1295277572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 17, 2016 |
| Last updated in NPPES | November 17, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | North Shore Hematology Oncology Associates Pc — 473 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mrs. Claudia Mike Provenzale, AGNP
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