Individual provider · Type 1 NPI

Justin Potter Pendergrast, PA-C

Physician Assistant · Albany, NY

NPI number 1972692887 Active

Practice location

43 New Scotland Ave
Albany, NY 12208-3412

Call (518) 262-6575 Map

Mailing address

1462 Erie Blvd
Schenectady, NY 12305-1026

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X009621 (NY)
Surgical Physician Assistant 363AS0400X009621 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972692887

Justin Potter Pendergrast, PA-C's National Provider Identifier is 1972692887, issued on Oct 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albany, NY. The record was last updated on Jul 15, 2008.