Provider Demographics
NPI:1669647855
Name:DELA PENA, MARGARITA BANZON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:BANZON
Last Name:DELA PENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 BEDFORD RD STE 4202
Mailing Address - Street 2:
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1716
Mailing Address - Country:US
Mailing Address - Phone:914-666-8866
Mailing Address - Fax:
Practice Address - Street 1:480 BEDFORD RD STE 4202
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1716
Practice Address - Country:US
Practice Address - Phone:914-666-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268880207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology