Domingo Pena, MD
Internal Medicine in Bronx, NY. Individual provider (NPI-1).
NPI number1841857166
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1841857166
- Entity type
- Individual (NPI-1)
- Name
- Domingo Pena
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2019
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 319216 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1150 Webster AveBronx, NY 10456-5205
Phone 718-975-1044 · Fax 917-471-8032
Mailing address
80 Haven Ave Apt 1aNew York, NY 10032-2615
Phone 718-501-2689 · Fax 917-471-8032
Other practice locations
80 Haven Ave Apt 1a
New York, NY 10032-2615
New York, NY 10032-2615
Phone 718-501-2689 · Fax 917-471-8032
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