MRS. VIVIAN O. PENCEAL TSHH MSED NPI 1699034041

NPI Information

NPI: 1699034041
Provider Name: MRS. VIVIAN O. PENCEAL, TSHH, MSED
Classification: Specialist/Technologist - 235500000X
Entity Type: Individual
Address:
25519 149TH AVE
2ND FLOOR
ROSEDALE, NY
ZIP 11422
Phone: (917) 922-3668
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MRS. Vivian O. Penceal, TSHH, MSED is a specialist technologist in Rosedale, NY. The provider is general classification identifying speech, language and hearing services individuals who are trained on a specific piece of equipment or technical procedure. MRS. Vivian O. Penceal, TSHH, MSED NPI is 1699034041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25519 149TH AVE
2ND FLOOR
ROSEDALE, NY
ZIP 11422-812
Phone: (917) 922-3668

The enumeration date for this NPI number is 5/4/2012 and was last updated on 6/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		215490	NEW YORK	No
2	235500000X	Specialist/Technologist		215490	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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