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Ti'Ara Penson
NPI 1558825513 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1591 Bruckner Blvd Apt 14h
Bronx, NY 10472 - Phone
- (347) 987-5320
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-24
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