Individual
CARLO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9614 METROPOLITAN AVE STE B, FOREST HILLS, NY 11375-6675
(718) 424-9531
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044332
NY
Other
Enumeration date
06/24/2019
Last updated
01/08/2024
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