Individual
REBECCA PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-4675
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(929) 888-0558
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
023983
NY
Other
Enumeration date
02/14/2019
Last updated
06/18/2023
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