Individual
EDITH MARIE PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 1ST AVE STE 10Q, NEW YORK, NY 10016
(212) 263-7021
Mailing address
530 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343402
NY
Other
Enumeration date
08/07/2018
Last updated
03/23/2021
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