MR. JUSTIN PENDERGRAST, PA-C
Physician Assistant
Active
Individual
NPI: 1972692887
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 009621 (NY) |
| Physician Assistant - Surgical | 363AS0400X | No | 009621 (NY) |
Frequently Asked Questions
NPI 1972692887 is the National Provider Identifier for MR. JUSTIN PENDERGRAST, PA-C, a Physician Assistant provider located in Albany, NY. This NPI was enumerated on October 11, 2006.
MR. JUSTIN PENDERGRAST, PA-C practices at 43 NEW SCOTLAND AVE, Albany, NY 12208.
Quick Facts
- NPI
- 1972692887
- Type
- Individual
- Enumerated
- Oct 11, 2006
- Last Updated
- Jul 15, 2008
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