Individual
JUSTIN PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, AGACNP
Contact information
Practice address
424 E 34TH ST FL 16, NEW YORK, NY 10016-4901
(646) 929-7870
Mailing address
28 BOX ST APT N233, BROOKLYN, NY 11222-5586
(425) 458-8947
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433062
NY
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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