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Edison Pena
Student in an Organized Health Care Education/Training Program in Hawthorne, New York
NPI 1962801381

Edison Pena is a Student in an Organized Health Care Education/Training Program based in New York, NY. Edison Pena practices in Hawthorne, NY. The NPI Number for Edison Pena is 1962801381 and holds a License No. (New York).

The current practice location address for Edison Pena is 2226 Linda Avenue, Hawthorne, NY and can be reached out via phone at 914-773-7500.

Location: 2226 Linda Avenue, Hawthorne, NY, 10040-2718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962801381
Provider Name
Edison Pena
Credential
Provider Entity Type
Individual
Gender
Male
Address
2226 Linda Avenue, Hawthorne, NY, 10040-2718
Phone Number
914-773-7500
Fax Number
Provider Enumeration Date
08/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2226 Linda Avenue
City
Hawthorne
State
New York
Zip
10532
Phone Number
914-773-7500
Fax Number
person
Provider Business Mailing Address Details
Address
2226 Linda Avenue
City
Hawthorne
State
New York
Zip
10532
Phone Number
914-773-7500
Fax Number
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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