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NPI Code Detail

MEDICARE: FELIX PENA LCSW

MEDICARE: FELIX PENA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker086422NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194094193
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX PENA LCSW
Provider Business Mailing Address
First Line : 1276 FULTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3467
Country : US
Telephone Number : 718-992-7669
Fax Number :
Provider Business Practice Location Address
First Line : 1276 FULTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3467
Country : US
Telephone Number : 718-992-7669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2011
Last Update Date : 05/09/2023

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Directions to “ FELIX PENA LCSW” Practice Location

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