Individual provider · Type 1 NPI

Edison Pena

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

NPI number 1962801381 Active

Practice location

2226 Linda Avenue
Hawthorne, NY 10532

Call (914) 773-7500 Map

Mailing address

45 Fairview Ave, Apt T3A
New York, NY 10040-2718

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 1962801381

Edison Pena's National Provider Identifier is 1962801381, issued on Aug 21, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hawthorne, NY. The record was last updated on Aug 21, 2014.