Sorange Pena
Specialist in Bronx, NY. Individual provider (NPI-1).
NPI number1982144226
StatusActive
Last updated in NPPESMar 6, 2017
Details
- NPI
- 1982144226
- Entity type
- Individual (NPI-1)
- Name
- Sorange Pena
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2017
- Last updated
- Mar 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
329 E 149th St4th Floor
Bronx, NY 10451-5601
Phone 718-769-2698
Mailing address
12 Saratoga RdWhite Plains, NY 10607-2113
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