MARLENE V PENDERGAST


Address: 46 E 1st St, Apt 4d, New York, NY 10003-9309
Phone: 3053210616

MARLENE V PENDERGAST (NPI# 1881960656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881960656
Entity Type Individual
Full Name MARLENE V PENDERGAST
Practice Address 46 E 1st St
Apt 4d
New York
NY 10003-9309
Practice Telephone 3053210616
Mailing Telephone 3053210616
Enumeration Date 2012-03-27
Last Update Date 2012-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 46 E 1ST ST
APT 4D
City NEW YORK
State NY
Zip Code 10003-9309

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10003

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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