Individual
MRS. BARBARA JEAN PENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 OAKLAND AVE, YONKERS, NY 10710-3113
(914) 645-8306
Mailing address
55 OAKLAND AVE, YONKERS, NY 10710-3113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1240721
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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