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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MIRIAM LEE PENNISE, NP

Active

MRS. MIRIAM LEE PENNISE, NP is a Adult Health Nurse Practitioner healthcare provider located in COMMACK, New York. NPI 1790882397 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · COMMACK, NY

Registration Details

NPI Number
1790882397
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2006 (19.862501412142 yrs)
Last Updated
Dec 6, 2021
Licenses
301536 NP (NY)
379-297 RN (NY)

Practice Information

Address
340 VETERANS HWY STE 12
COMMACK, NY, 117254300
Browse NY providers · Browse ZIP 11725
Phone
6314868400
Fax
6314868080
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in COMMACK, NY

Name Credential NPI
PATRICIA MORAN NP 1962543827
LAURA TEPLITZ NP 1881814481
MS. KATHLEEN BRADLEY KUPFERMAN N.P. 1063633378
MS. BARBARA SUZY DIGGLE-FOX R.N., N.P., M.S. 1477761641
MRS. SYLWIA ROGOVE APRN-BC 1790984656
ERIN PUNTURIERI NP 1740471697
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.