Most Relevant Information
Provider Data
| NPI Number: | 1003078031 |
| Provider Name: | STANLEY F PENC MD PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084N0400X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 247961-1 |
Most Important Dates
| Enumeration Date: | 07/01/2008 |
| Last Updated: | 11/06/2012 |
Provider Practice Location
400 PATROON CREEK BLVD
SUITE 210
ALBANY
NY
122065013
Practice Location Phone/Fax
| Phone: | 5184598106 |
| Fax: |
Provider Mailing Location
400 PATROON CREEK BLVD
SUITE 210
ALBANY
NY
122065013
Provider Mailing Phone/Fax
| Phone: | 5184598106 |
| Fax: |
Suggested EMR
Neurology EMR