Pena, Juan

Pena, Juan is an individual health care provider with primary practice located at 1831 Grand Concourse , Bronx NY 10453-6323. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Pena, Juan can be contacted via phone (718) 365-6691.

Contact Information

Primary practice address
1831 Grand Concourse Bronx NY 10453-6323
Phone: (718) 365-6691
Fax: (718) 364-7777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 111NN0400X New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 213E00000X New York

Profile Details

NPI number 1255733523
LBN Legal business name Pena, Juan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 11 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 1255733523 NPPES
New York MEDICAID SUPER1626

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