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Contact Information

JAMES PENNA, MD
14 TECHNOLOGY DR
EAST SETAUKET, NY11733-3472
 Phone: 631-444-4233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES PENNA · (Male)

NPI # 1710928957
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 209916
  • NY Medicaid 02288966
  • NY Other 7420388 AETNA
  • NY Other 475F62 EMPIRE BC.BS
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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