Pena, Milagros J
Pena, Milagros J is an individual health care provider with primary practice located at 519 Broadway , Staten Island NY 10310-2822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Pena, Milagros J can be contacted via phone (718) 447-5437.Contact Information
Primary practice address
519 Broadway
Staten Island NY 10310-2822
Phone: (718) 447-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381092 | New York |
Profile Details
| NPI number | 1801187950 |
|---|---|
| LBN Legal business name | Pena, Milagros J |
| Credentials | RN, MS, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2011 |
| Last updated | Dec 9th, 2020 - about 5 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 | 1801187950 | NPPES |
| New York | MEDICAID | 03376189 |
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