Kelly Joy Pena RN

NPI 1710294871 - Registered Nurse - 163W00000X

NPI Details
NPI 1710294871
Gender Female
Enumeration Date 09/09/2010
Last Updated 09/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2020 JULIA GOLDBACH AVE
RONKONKOMA NY, 11779-6311, US
Phone (631) 676-4004
Fax
Business Location
2020 JULIA GOLDBACH AVE
RONKONKOMA NY, 11779-6311, US
Phone (631) 676-4004
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 590517-1
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According to our database, Kelly Joy Pena RN NPI is 1710294871, taxonomy code is 163W00000X and license number is 590517-1, license state is located at New York. Kelly Joy Pena RN physically located at 2020 Julia Goldbach Ave, Ronkonkoma NY, 11779-6311. NPI Number Kelly Joy Pena RN has the Individual type.

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1710294871 NPI number is provided on an as is basis without warranty of any kind. 1710294871 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Joy Pena RN are for informational purposes only.