Individual
ROBERTO C PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.E.D.
Contact information
Practice address
2 DON LN, WHITE PLAINS, NY 10607-2304
(914) 592-1685
Mailing address
2 DON LN, WHITE PLAINS, NY 10607-2304
(914) 592-1685
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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