Individual
FREDERIQUE PESANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH STREET, BRONNX, NY 10467
(718) 920-4316
Mailing address
111 E 210TH STREET, BRONNX, NY 10467
(418) 932-8989
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
337100
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/13/2025
Last updated
12/12/2025
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