Janet Pennisi, PA
Physician Assistant in Middletown, NY. Individual provider (NPI-1).
NPI number1508309840
StatusActive
Last updated in NPPESNov 20, 2017
Details
- NPI
- 1508309840
- Entity type
- Individual (NPI-1)
- Name
- Janet Pennisi
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2016
- Last updated
- Nov 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 020094 | NY | Yes |
Practice location
111 Maltese DrMiddletown, NY 10940-2115
Phone 845-342-4774 · Fax 845-343-8741
Mailing address
111 Maltese DrMiddletown, NY 10940-2115
Phone 845-342-4774 · Fax 845-343-8741
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All 77 Physician Assistant providers in Middletown · All 3,176 providers in Middletown
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