Individual
TRACEY MCDONALD-PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 FULTON ST, BROOKLYN, BROOKLYN, NY 11216-2607
(718) 636-4500
(718) 636-2998
Mailing address
1413 FULTON ST, BROOKLYN, BROOKLYN, NY 11216-2607
(718) 636-4500
(718) 636-2998
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018252
NY
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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