Individual
DR. JAMES PENNA
Active
Individual
DR. JAMES PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
209916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02288966
—
NY
01
—
475F62
EMPIRE BC.BS
NY
01
—
7420388
AETNA
NY
Enumeration date
06/09/2006
Last updated
07/13/2026
Update your record
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