ELY PENA MS
NPI 1710570916
Specialist in Saint Albans, NY

Active since February 18, 2021
11835 FARMERS BLVD APT 106, SAINT ALBANS, NY 11412(917) 272-2014 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ely Pena Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELY PENA MS (NPI 1710570916) is an individual specialist in Saint Albans, New York, licensed in New York (2594179) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1710570916
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameELY PENACredential: MS
Location Address11835 FARMERS BLVD APT 106Saint Albans, NY 11412-4004
Mailing Address11835 Farmers Blvd Apt 106Saint Albans, NY 11412-4004 · (917) 272-2014
Sole ProprietorNo
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 14, 2021
NPI 1710570916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 2594179
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11835 FARMERS BLVD APT 106, Saint Albans, NY 11412

Other Names 1

Former Name (1)Maria Elisabeht Pena Ms

Other Identifiers 3

Other127-572-899NY · Driver License
Other127572899NY · Driver License
Other550493040NY · Passport

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ely Pena's NPI number?

The NPI number for Ely Pena is 1710570916. It was assigned to this individual provider in the NPPES registry on February 18, 2021. The provider is also known as Maria Elisabeht Pena Ms.

Where is Ely Pena located?

Ely Pena practices at 11835 Farmers Blvd Apt 106, Saint Albans, NY 11412. The listed phone number is (917) 272-2014.

What is Ely Pena's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ely Pena was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.