Organization
STAGES PEDIATRICS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLOTILDE B PENA MD (MD)
(917) 519-9954
Entity
Organization
Contact information
Practice address
128 FORT WASHINGTON AVE, 1J, NEW YORK, NY 10032-4721
(917) 519-9954
Mailing address
128 FORT WASHINGTON AVE, 1J, NEW YORK, NY 10032-4721
(917) 519-9954
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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