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Brandon Pena, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1497458616

Brandon Pena is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Brandon Pena practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Brandon Pena is 1497458616 and holds a License No. (New York).

The current practice location address for Brandon Pena is Department Of Surgery Hsc T-19, 030, Stony Brook, NY and can be reached out via phone at 631-444-1791 and via fax at 631-444-7689.

Location: Department Of Surgery Hsc T-19, 030, Stony Brook, NY, 11794-8191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497458616
Provider Name
Brandon Pena
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Department Of Surgery Hsc T-19, 030, Stony Brook, NY, 11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Department Of Surgery Hsc T-19, 030
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider Business Mailing Address Details
Address
Department Of Surgery Hsc T-19, 030
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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