Individual
ELIZABETH ANN PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 E 86TH ST OFC 4C, NEW YORK, NY 10028-0517
(212) 861-6660
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
356357
NY
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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