Individual
MR. PIX REX PENDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
145 E 32ND ST FL 6, NEW YORK, NY 10016-6055
(212) 779-9207
Mailing address
145 E 32ND ST, NEW YORK, NY 10016-6066
(212) 779-9207
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
677332
NY
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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