Individual
DONALD P. PENREE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
3229 E GENESEE ST, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Mailing address
3229 E GENESEE ST, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012929-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081812
—
NY
Enumeration date
10/28/2008
Last updated
06/13/2012
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