Individual
ENRIQUE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
289905
NY
207P00000X
Emergency Medicine Physician
Primary
MD480376
PA
Other
Enumeration date
04/01/2013
Last updated
11/06/2023
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