Ely Pena, MS

NPI #1710570916 in Saint Albans, New York

Provider Information

NPI Number: 1710570916
Entity Type: Individual
Name: Ely Pena, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: 11835 FARMERS BLVD APT 106
City: Saint Albans
State: New York
ZIP Code: 11412-4004
Phone: (917) 272-2014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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