Individual
DR. DELBA JOSEFINA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS PC
Contact information
Practice address
186 CLINTON ST, HEMPSTEAD, NY 11550-2600
(516) 483-8136
(516) 483-8134
Mailing address
1000 FRONT ST, P.O. BOX 160, UNIONDALE, NY 11553-1638
(516) 483-8134
(516) 483-8134
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047706
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900307
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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