Haiyede, Pendor

Haiyede, Pendor is an sole proprietor health care provider with primary practice located at 7901 Broadway # D1-05 , Elmhurst NY 11373-1329. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Haiyede, Pendor can be contacted via phone (718) 334-2488.

Contact Information

Primary practice address
7901 Broadway # D1-05 Elmhurst NY 11373-1329
Phone: (718) 334-2488
Fax: (718) 334-5006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F309258 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F405602 New York

Profile Details

NPI number 1215586490
LBN Legal business name Haiyede, Pendor
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2019
Last updated Mar 6th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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