Pennock, Tanya

Pennock, Tanya is an individual health care provider with primary practice located at 108 Whitehall Rd , Albany NY 12209-1447. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Pennock, Tanya can be contacted via phone (518) 462-7241.

Contact Information

Primary practice address
108 Whitehall Rd Albany NY 12209-1447
Phone: (518) 462-7241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1033496369
LBN Legal business name Pennock, Tanya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Nov 15th, 2011 - about 13 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.

Request for update

Popular Providers