Provider Demographics
NPI:1689112591
Name:PENA GROUP INC.
Entity Type:Organization
Organization Name:PENA GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-216-5240
Mailing Address - Street 1:1635 JOHN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2120
Mailing Address - Country:US
Mailing Address - Phone:516-216-5240
Mailing Address - Fax:516-216-5241
Practice Address - Street 1:1635 JOHN CT
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2120
Practice Address - Country:US
Practice Address - Phone:516-216-5240
Practice Address - Fax:516-216-5241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi