Pena Diaz, Robert Vincent

Pena Diaz, Robert Vincent is an sole proprietor health care provider with primary practice located at 3915 62Nd St Apt 42 , Woodside NY 11377-3612. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pena Diaz, Robert Vincent can be contacted via phone (347) 585-6005.

Contact Information

Primary practice address
3915 62Nd St Apt 42 Woodside NY 11377-3612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912327677
LBN Legal business name Pena Diaz, Robert Vincent
Credentials MS.ED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2014
Last updated Jul 21st, 2022 - about 3 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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