Individual
MR. VINCENT M PENNICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-7300
Mailing address
2 ROSEMARY CT, MANORVILLE, NY 11949-2818
(631) 278-2927
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431824
NY
Other
Enumeration date
02/27/2021
Last updated
02/27/2021
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