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Contact Information

KERI A PENTA, RN
401 4TH ST
LINDENHURST, NY11757-1431
 Phone: 631-592-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KERI A PENTA · (Female)

NPI Number 1013092501
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/25/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 575697
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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