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KAZELL ANN PENALOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
19 LAUREL AVE, CORNWALL, NY 12518-1403
(845) 534-7711
Mailing address
157 SICKLES AVE, NYACK, NY 10960-1829
(845) 367-1161

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
684065
NY
363L00000X
Nurse Practitioner
Primary
347643
NY

Other

Enumeration date
11/29/2021
Last updated
11/29/2021
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