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Individual

DENYS PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 410-7110
Mailing address
1815 MONROE AVE APT 2L, BRONX, NY 10457-5644
(646) 420-8105

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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