Individual
KRYSTAL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 PENNSYLVANIA AVE APT 5G, BROOKLYN, NY 11239-1103
(347) 930-2255
Mailing address
1255 PENNSYLVANIA AVE APT 5G, BROOKLYN, NY 11239-1103
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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