Individual
ADALBERTO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2510 WESTCHESTER AVE STE 110, BRONX, NY 10461-3585
(718) 684-3050
Mailing address
2180 BOLTON ST APT 2B, BRONX, NY 10462-1333
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028310
NY
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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