Debra Penna

NPI #1831321504 in Selden, New York

Provider Information

NPI Number: 1831321504
Entity Type: Individual
Name: Debra Penna
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 14, 2009
Last Updated: Aug 14, 2009

Practice Location

Address: 1312 MIDDLE COUNTRY RD
City: Selden
State: New York
ZIP Code: 11784-2514
Phone: (631) 732-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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