Individual
MS. CONSUELO MERCEDES PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
315 W 232ND ST APT 2H, BRONX, NY 10463-3845
(646) 271-4158
Mailing address
315 W 232ND ST APT 2H, BRONX, NY 10463-3845
(646) 271-4158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
404244
NY
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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