Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA PENG
Active Sole ProprietorREBECCA PENG is a Facial Plastic Surgery healthcare provider located in MANHASSET, New York. NPI 1487110409 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · MANHASSET, NY
Registration Details
- NPI Number
- 1487110409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2019 (7.5045498027657 yrs)
- Last Updated
- Jun 18, 2023
- License
-
023983 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 COMMUNITY DRMANHASSET, NY, 110303876Browse NY providers · Browse ZIP 11030
- Phone
- 5165624675
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
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.