Individual
MR. JIMMY JAVIER RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5383
(718) 437-5903
Mailing address
760 BROADWAY FL 5, BROOKLYN, NY 11206-5383
(718) 437-5903
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404370
NY
Other
Enumeration date
06/29/2023
Last updated
12/07/2023
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