Individual provider · Type 1 NPI

Christopher John Pettit

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1114785508 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (646) 929-7800 Map

Mailing address

185 S Orange Ave
Newark, NJ 07103-2757

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114785508

Christopher John Pettit's National Provider Identifier is 1114785508, issued on Mar 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 25, 2025.