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1376538553
CERVANTES B PENA
CORONA, NY
NPI
1376538553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 266996)
Enumeration Date
2005-09-14
Last Update Date
2012-10-18
Business Address
Dr. CERVANTES B PENA M.D
10211 ROOSEVELT AVE
CORONA, NY 11368-2331
Phone number: 718-898-5200
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Mailing Address
Dr. CERVANTES B PENA M.D
10211 ROOSEVELT AVE
CORONA, NY 11368-2331
Phone number: 718-898-5200
Copy
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