Mr. Vincent M Pennica
Nurse Practitioner - Acute Care
424 E 34th St
New York
, New York 10016-4901
Mr. Vincent M Pennica
Nurse Practitioner - Acute Care
424 E 34th St
New York
, New York 10016-4901
(631) 278-2927
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mr. Vincent M Pennica
- 2 Rosemary Ct
- Manorville, NY
- Zip : 11949-2818
- Phone : (631) 278-2927
Second Address
- Mr. Vincent M Pennica
- 424 E 34th St
- New York, NY
- Zip : 10016-4901
- Phone : (212) 263-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 431824 | NY |
National Provider Identifier
| NPI | 1013501295 |
|---|---|
| Provider Name | Mr. Vincent M Pennica |
| First Address | Manorville, NY 11949-2818 |
| Second Address | New York, NY 10016-4901 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2021 |
| Last Update Date | 27/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.