Healthcare Provider Details

I. General information

NPI: 1891610929
Provider Name (Legal Business Name): PENPIXEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 E 4TH ST
BROOKLYN NY
11223-5427
US

IV. Provider business mailing address

2411 E 4TH ST
BROOKLYN NY
11223-5427
US

V. Phone/Fax

Practice location:
  • Phone: 718-629-8940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DALER RAKHMONOV
Title or Position: MANAGER
Credential:
Phone: 718-629-8940