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Vivian Penceal, TSHH, MSED
NPI 1699034041 · on the registry since 2012 · sole proprietor
Practice
- Address
- 25519 149th Ave
2nd Floor
Rosedale, NY 11422 - Phone
- (917) 922-3668
Registry record
- Primary taxonomy
- 235500000X
235500000X
- Also registered as
- 174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-08
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