Individual
MRS. AVITAL PENINA EIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2420 OCEAN AVE, BROOKLYN, NY 11229-3509
(516) 776-8072
Mailing address
2420 OCEAN AVE, BROOKLYN, NY 11229-3509
(516) 776-8072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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