Individual
JOHN PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2323
Mailing address
4004 34TH AVE APT 404, LONG ISLAND CITY, NY 11101-8541
(516) 784-6487
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
734913-01
NY
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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