NPI 1073801700

Tracey McDonald-Pena

Practitioner Dental Hygienist Brooklyn, NY

Practice location

Address: 1413 Fulton St Brooklyn, Brooklyn, NY 11216-2607
Phone: (718) 636-4500
Fax: (718) 636-2998

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 018252 (NY)

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Registry record

NPI: 1073801700
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2011
Record last updated: 15 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.