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Juan Pena
NPI 1255733523 · on the registry since 2014
Practice
- Address
- 1831 Grand Concourse
Bronx, NY 10453 - Phone
- (718) 365-6691
- Fax
- (718) 364-7777
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 111NN0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York