Individual
DR. MICHAEL PENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
115 W 29TH ST, NEW YORK, NY 10001-5106
(718) 897-3206
Mailing address
PO BOX 7110, NEW YORK, NY 10150-7110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
184913
NY
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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