Ali-Pennock, Vanessa Ambereen
Ali-Pennock, Vanessa Ambereen is an individual health care provider with primary practice located at 54 Sunnyside Blvd , Plainview NY 11803-1517. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ali-Pennock, Vanessa Ambereen can be contacted via phone (516) 506-7776.Contact Information
Primary practice address
54 Sunnyside Blvd
Plainview NY 11803-1517
Phone: (516) 506-7776
Fax: (516) 719-0708
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 260126 | New York |
Profile Details
NPI number | 1205066503 |
---|---|
LBN Legal business name | Ali-Pennock, Vanessa Ambereen |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2009 |
Last updated | Feb 26th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205066503 | NPPES |
New York | MEDICAID | 3545622 |
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