Individual
CLAIRE PETTENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-3582
Mailing address
18 E 18TH ST APT 2W, NEW YORK, NY 10003-1932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N10812
NY
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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