Individual provider · Type 1 NPI

Brian Pettitt, MD

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

NPI number 1700366978 Active

Practice location

1250 Waters Pl
Bronx, NY 10461-2720

Call (718) 920-4800 Map

Mailing address

112 E 103rd St Apt 25
New York, NY 10029-5318

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 1700366978

Brian Pettitt, MD's National Provider Identifier is 1700366978, issued on Aug 17, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Sep 14, 2022.