Individual
DR. DANIEL JOSEPH PENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 EAST PARK AVENUE, LONG BEACH, NY 11561-0963
(516) 431-9400
(516) 431-9414
Mailing address
PO BOX 1090, LONG BEACH, NY 11561-0963
(516) 431-9400
(516) 431-9414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
122664
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00513680
—
NY
01
—
0090681
AETNA INS CO
—
01
—
AS187
OXFORD INS CO
—
Enumeration date
09/25/2006
Last updated
08/22/2008
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