Individual
PENINA YEHUDIT DIENSTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(877) 768-8462
Mailing address
11781 LEE JACKSON MEMORIAL HIGHWAY, ST 550, FAIRFAX, VA 22033
(571) 777-5164
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
276586
NY
Other
Enumeration date
04/28/2011
Last updated
09/14/2015
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