Individual provider · Type 1 NPI

Ely Pena, MS

Specialist · St. Albans, NY

NPI number 1710570916 Active

Practice location

11835 Farmers Blvd Apt 106
St. Albans, NY 11412-4004

Call (917) 272-2014 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2594179 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1710570916

Ely Pena, MS's National Provider Identifier is 1710570916, issued on Feb 18, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Albans, NY. The record was last updated on Feb 18, 2021.