Individual
GIANNA FRANCES PENDERGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1169 83RD ST, BROOKLYN, NY 11228-2937
(718) 708-3457
Mailing address
1169 83RD ST, BROOKLYN, NY 11228-2937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
030895
NY
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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