Individual provider · Type 1 NPI

Wandaly Pena

Specialist · Bronx, NY

NPI number 1831613744 Active

Practice location

429 E 148th St Fl 1
Bronx, NY 10455-4128

Call (718) 585-0600 Map

Mailing address

812 E 231st St Apt 2E
Bronx, NY 10466-4568

Other practice locations

  • 812 E 231st St Apt 2E, Bronx, NY 10466-4568 · (646) 229-9947

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1831613744

Wandaly Pena's National Provider Identifier is 1831613744, issued on Aug 1, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Mar 17, 2018.