Individual
ANABELL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2509 BROADWAY, ASTORIA, NY 11106-3413
(718) 728-8476
(718) 204-7570
Mailing address
571 FDR DR APT 13E, NEW YORK, NY 10002-2035
(646) 841-5413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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