Carlos A Penaherrera M.D.

NPI 1861838823 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1861838823
Gender Male
Enumeration Date 05/17/2013
Last Updated 05/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
475 SEAVIEW AVE
STATEN ISLAND NY, 10305-3436, US
Phone (718) 226-1548
Fax
Business Location
20 CHESTNUT ST
KEARNY NJ, 07032-2318, US
Phone (908) 307-7639
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Carlos A Penaherrera M.D. NPI is 1861838823, taxonomy code is 390200000X Carlos A Penaherrera M.D. physically located at 475 Seaview Ave, Staten Island NY, 10305-3436. NPI Number Carlos A Penaherrera M.D. has the Individual type.

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1861838823 NPI number is provided on an as is basis without warranty of any kind. 1861838823 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos A Penaherrera M.D. are for informational purposes only.