Organization
FIRST AVENUE MEDICAL P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R SANCHEZ PENA MD (PRESIDENT)
(201) 533-0972
Entity
Organization
Contact information
Practice address
486 E TREMONT AVE, BRONX, NY 10457-4437
(646) 393-5146
(646) 393-5150
Mailing address
550 NEWARK AVE STE 401, JERSEY CITY, NJ 07306-1354
(862) 222-0566
(201) 533-8157
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
05/14/2024
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