Individual
DR. MONIKA ROSEMARY PEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
277 NORTHERN BLVD STE 314, GREAT NECK, NY 11021-4703
(516) 829-6646
(516) 829-0859
Mailing address
1014 SKI BLUFF TER, LAKE ARIEL, PA 18436-8123
(570) 795-3950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD237826
NY
2080A0000X
Pediatric Adolescent Medicine Physician
MD428753
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD
NY MEDICAL LICENSE
NY
01
—
MD
PA MEDICAL LICENSE
PA
Enumeration date
04/18/2006
Last updated
05/06/2019
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