Edison Pena
Edison Pena is a Student in an Organized Health Care Education/Training Program in Hawthorne, New York. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
2226 Linda AveHawthorne, NY 10532
Phone: (914) 773-7500
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1962801381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2014 |
| Last updated in NPPES | August 21, 2014 |
| Mailing address | 45 Fairview Ave, Apt T3a, New York, NY 10040-2718 |
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