SearchNew York174400000X

Bethany Penrod

NPI 1063952612 · on the registry since 2017 · sole proprietor

Practice

Address
40 Woody Dr
West Monroe, NY 13167
Phone
(315) 744-3779

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York