Pena, Delba Josefina

Pena, Delba Josefina is an individual health care provider with primary practice located at 186 Clinton St , Hempstead NY 11550-2600. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Pena, Delba Josefina can be contacted via phone (516) 483-8136.

Contact Information

Primary practice address
186 Clinton St Hempstead NY 11550-2600
Fax: (516) 483-8134
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 047706 New York

Profile Details

NPI number 1659381838
LBN Legal business name Pena, Delba Josefina
Credentials DDS PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659381838 NPPES
New York MEDICAID 01900307

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