Individual
DR. FREDERICK PENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
755 NEW YORK AVE, SUITE 200, HUNTINGTON, NY 11743-4240
(631) 351-1729
(631) 424-4041
Mailing address
12 MAURICE LN, HUNTINGTON, NY 11743-1843
(631) 385-0065
(631) 424-4041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008782-1
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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