MITCHELL PENG

BRONX, NY
NPI1659969095
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  026478)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-12-31
Last Update Date2021-03-24
Business Address
MITCHELL PENG
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-8874
Mailing Address
MITCHELL PENG
16 LAWRENCE ST
NEW HYDE PARK, NY 11040-1721
Phone number: 516-941-5645