Individual
MR. ERICK ANDRES PINEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BRADHURST AVE APT 404, NEW YORK, NY 10039-2443
(718) 937-0895
Mailing address
130 BRADHURST AVE APT 404, NEW YORK, NY 10039-2443
(718) 937-0895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
627675
NY
363LF0000X
Family Nurse Practitioner
Primary
340989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340989
NEW YORK STATE NURSE PRACTITIONER LICENSE
NY
Enumeration date
09/24/2021
Last updated
09/24/2021
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