Penza, Nina

Penza, Nina is an individual health care provider with primary practice located at 1050 Hallock Ave Ste 4 , Port Jefferson Station NY 11776-1214. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Penza, Nina can be contacted via phone (516) 219-9608.

Contact Information

Primary practice address
1050 Hallock Ave Ste 4 Port Jefferson Station NY 11776-1214
Phone: (516) 219-9608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 100405-01 New York

Profile Details

NPI number 1538704937
LBN Legal business name Penza, Nina
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2019
Last updated Nov 10th, 2019 - 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.

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