Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIUSKA PENA
DeactivatedKATIUSKA PENA is a Specialist healthcare provider located in NEW YORK, New York. NPI 1063966380 is deactivated in the NPPES registry. Verify at CMS.
Specialist · NEW YORK, NY
This NPI has been deactivated.
The record was deactivated on October 29, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063966380
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2016 (3.2349726775956 yrs)
- Last Updated
- Mar 23, 2021
- Deactivated
- Oct 29, 2019
Practice Information
- Address
-
5030 BROADWAYNEW YORK, NY, 100341609Browse NY providers · Browse ZIP 10034
- Phone
- 2127959888
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| WALEED A HASSEN | M.D. | 1154324226 |
| MICHAEL J DROLLER | M.D. | 1528061686 |
| MICHAEL A PALESE | M.D. | 1679576110 |
| DR. TYLER S LUCAS | M.D. | 1497758734 |
| DR. WILLIAM RUSSELL GRACE | M.D. | 1578565610 |
| DR. EDMUND KAPLAN | — | 1518961457 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.