Individual provider · Type 1 NPI

Brandon Pena, MD

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1497458616 Active

Practice location

Department Of Surgery Hsc T-19, 030
Stony Brook, NY 11794-8191

Call (631) 444-1791 Map

Fax (631) 444-7689

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1497458616

Brandon Pena, MD's National Provider Identifier is 1497458616, issued on Mar 24, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 24, 2023.