Individual provider · Type 1 NPI

Brandy Sharese Pendergrass

Specialist · Rego Park, NY

NPI number 1194273292 Active

Practice location

9777 Queens Blvd Ph
Rego Park, NY 11374-3300

Call (718) 830-9274 Map

Mailing address

1211 Southern Blvd, Apt. 810
Bronx, NY 10459-4604

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194273292

Brandy Sharese Pendergrass's National Provider Identifier is 1194273292, issued on Sep 17, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Sep 17, 2016.