SearchNew York363LA2200X

Miriam Pennise, NP

NPI 1790882397 · on the registry since 2006

Practice

Address
340 Veterans Hwy Ste 12
Commack, NY 11725
Phone
(631) 486-8400
Fax
(631) 486-8080
Clinicians at this address
2

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-06

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