Individual
MS. MILAGROS J PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
519 BROADWAY, STATEN ISLAND, NY 10310-2822
(718) 447-5437
Mailing address
519 BROADWAY, STATEN ISLAND, NY 10310-2822
(718) 982-9001
(718) 982-9008
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03376189
—
NY
Enumeration date
04/25/2011
Last updated
12/09/2020
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