Penna, James

Penna, James is an individual health care provider with primary practice located at 14 Technology Dr , East Setauket NY 11733-3472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Penna, James can be contacted via phone (631) 444-4233.

Contact Information

Primary practice address
14 Technology Dr East Setauket NY 11733-3472
Phone: (631) 444-4233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 209916 New York

Profile Details

NPI number 1710928957
LBN Legal business name Penna, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1710928957 NPPES
New York Other 7420388 AETNA
New York MEDICAID 02288966 AETNA
New York Other 475F62 AETNA

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