Individual
MRS. PATRICIA L. PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8647 164TH ST, JAMAICA, NY 11432-3450
(718) 658-2448
(718) 658-2603
Mailing address
8647 164TH ST, JAMAICA, NY 11432-3450
(718) 658-2448
(718) 658-2603
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008226-1
NY
Other
Enumeration date
11/16/2006
Last updated
02/02/2012
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