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Contact Information

MARIA PENA
201 EAST GREEN ST
ITHACA, NY14850
 Phone: 607-274-6333
 Fax: 607-274-6316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MARIA PENA · (Female)

NPI Number 1013185032
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2008
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 108737
Hospital affiliation(s) Not Available
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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