Dr. Omar A Pena, M.D.
Psychiatry & Neurology, Psychiatry in Bronx, NY. Individual provider (NPI-1).
NPI number1700965415
StatusActive
Last updated in NPPESFeb 23, 2010
Details
- NPI
- 1700965415
- Entity type
- Individual (NPI-1)
- Name
- Dr. Omar A Pena
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Feb 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 221331 | NY | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 221331-1 | NY |
Practice location
1241 Lafayette AvenueBronx, NY 10474-5336
Phone 718-387-6500 · Fax 718-842-3846
Mailing address
781 East 142 StreetBronx, NY 10454-1723
Phone 718-993-1400 · Fax 718-993-0647
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