National Provider Identifier
Vincent Pandolfi, PHD
Vincent Pandolfi, PHD is listed in the NPPES registry with a primary specialty of Psychologist in Fairport, NY and a listed phone number of (585) 223-5920.
Profile Overview
- NPI
- 1588767636
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- September 06, 2006
- Last Updated
- May 21, 2012
Practice Location
- 620 Cross Keys Office Park
- Fairport, NY 14450-3508
Phone: (585) 223-5920
Mailing Address
- 80 Corral Dr
- Penfield, NY 14526
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1588767636
- Entity Type
- Individual
- Last Name
- Pandolfi
- First Name
- Vincent
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 80 Corral Dr
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526
- Mailing Country
- US
- Mailing Phone
- (585) 670-9831
- Practice Street Address
- 620 Cross Keys Office Park
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3508
- Practice Country
- US
- Practice Phone
- (585) 223-5920
- Practice Fax
- (585) 223-5727
- Enumeration Date
- September 06, 2006
- Last Updated
- May 21, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)
- Other Identifiers
- 7311349 (NY, Aetna), P010014003 (NY, Blue Choice), P020014003 (NY, Blue Cross Blue Shield)