Individual
MELISSA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-8708
Mailing address
10755 77TH ST APT 1, OZONE PARK, NY 11417-1140
(917) 275-8731
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F-002075
NY
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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