Individual provider · Type 1 NPI

Talia Penn

Student in an Organized Health Care Education/Training Program · Forest Hills, NY

NPI number 1699661983 Active

Practice location

11655 Queens Blvd Ste 216
Forest Hills, NY 11375-6527

Call (212) 804-7659 Map

Fax (888) 975-7704

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 1699661983

Talia Penn's National Provider Identifier is 1699661983, issued on Jun 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Hills, NY. The record was last updated on Jun 14, 2025.