Individual
THERESA MARIE PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 E POST RD, WHITE PLAINS, NY 10601-4607
(914) 681-1081
Mailing address
524 OLD COUNTRY RD, PLAINVIEW, NY 11803-6502
(516) 931-3988
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192064
NY
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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