Organization
MICHELLE GUEVARRA PENA PLLC
Active
Other names
Michelle Guevarra-Pena MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE GUEVARRA-PENA MD (SOLE MEMBER)
(631) 475-0222
Entity
Organization
Contact information
Practice address
14-A JAYNE AVENUE, PATCHOGUE, NY 11772
(631) 475-0222
(631) 475-4586
Mailing address
14-A JAYNE AVENUE, PATCHOGUE, NY 11772
(631) 475-0222
(631) 475-4586
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
08/22/2020
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