Individual
DR. JOSIAH MOISES PENALVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD FL HSC11, STONY BROOK, NY 11794-8111
(631) 444-2725
(631) 444-7865
Mailing address
16 DYKE RD, SETAUKET, NY 11733-3055
(646) 784-4370
(253) 449-3184
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
252191
NY
2080P0202X
Pediatric Cardiology Physician
Primary
60361918
WA
Other
Enumeration date
07/27/2007
Last updated
04/13/2026
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