Individual
MARIA PRENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13737 159TH ST, JAMAICA, NY 11434-3737
(347) 207-4920
Mailing address
13737 159TH ST, JAMAICA, NY 11434-3737
(347) 207-4920
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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