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Individual

DR. CERVANTES B PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
10211 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 898-5200
(718) 898-3673
Mailing address
10211 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 898-5200
(718) 898-3673

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
266996
NY

Other

Enumeration date
09/14/2005
Last updated
10/18/2012
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