Most Relevant Information
Provider Data
| NPI Number: | 1003330762 |
| Provider Name: | JOHANNY Y PENA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 100641-1 |
Most Important Dates
| Enumeration Date: | 08/02/2017 |
| Last Updated: | 08/02/2017 |
Provider Practice Location
239 N BROADWAY
SLEEPY HOLLOW
NY
105912674
Practice Location Phone/Fax
| Phone: | 3478521407 |
| Fax: |
Provider Mailing Location
54 GROVE ST # 2
TARRYTOWN
NY
105914123
Provider Mailing Phone/Fax
| Phone: | 3478521407 |
| Fax: |