Individual
MR. COLIN MARTIN PRENDERGAST I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329 E 149TH ST, BRONX, NY 10451-5601
(718) 769-2698
Mailing address
2529 14TH ST, ASTORIA, NY 11102-3720
(212) 252-2321
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/07/2016
Last updated
02/07/2016
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