GRACE NABILA PENA FATULE

JAMAICA, NY
NPI1124482484
Former NameGRACE NABILA MARTINEZ PENA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  307883-01)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NY  307883-01)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NY  307883-01)
Enumeration Date2016-04-12
Last Update Date2024-07-24
Business Address
GRACE NABILA PENA FATULE M.D.
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2832
Phone number: 210-206-6000
Mailing Address
GRACE NABILA PENA FATULE M.D.
8900 VAN WYCK EXPY
JAMAICA, NY 11418-2832
Phone number: 718-206-6000