Individual
MR. BRIAN CHRISTOPHER PENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 EAST JACKSON AVENUE, BABYLON, NY 11702
(631) 539-4438
Mailing address
11 E JACKSON AVE, BABYLON, NY 11702-4208
(631) 539-4438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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