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Organization
NORTHERN MANHATTAN MEDICAL PC
Active
Organization
NORTHERN MANHATTAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOBO PENA MD (OWNER/CHIEF OF STAFF)
(347) 998-2543
Entity
Organization
Contact information
Practice address
354 FORT WASHINGTON AVE, NEW YORK, NY 10033-6834
(212) 568-3532
(212) 923-4032
Mailing address
156 WATERS EDGE, CONGERS, NY 10920-2622
(347) 998-2543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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