Individual
BROOKE SHELBY PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 E 51ST ST, NEW YORK, NY 10022-6526
(212) 398-1709
Mailing address
211 E 51ST ST, NEW YORK, NY 10022-6526
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
033594
NY
363AM0700X
Medical Physician Assistant
11949
GA
Other
Enumeration date
09/06/2023
Last updated
08/12/2025
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