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MRS. MIRIAM LEE PENNISE NP
NPI 1790882397
Nurse Practitioner - Adult Health in Commack, NY

Active since September 19, 2006
340 VETERANS HWY STE 12, COMMACK, NY 11725(631) 486-8400(631) 486-8080 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Miriam Lee Pennise Np NPPES

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

MRS. MIRIAM LEE PENNISE NP (NPI 1790882397) is an individual adult health provider in Commack, New York, licensed in New York (379-297 RN) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1790882397
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MIRIAM LEE PENNISECredential: NP
Location Address340 VETERANS HWY STE 12Commack, NY 11725-4300
Mailing Address340 Veterans Hwy Ste 12Commack, NY 11725-4300 · (631) 486-8400 · Fax (631) 486-8080
Phone(631) 486-8400
Fax(631) 486-8080
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
✔ NPI 1790882397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NY · 379-297 RN✔ Licensed in NY · 301536 NP
340 VETERANS HWY STE 12, Commack, NY 11725
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Other Names 1

Former Name (1)Mrs. Miriam Lee Duran Rn

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 Miriam Pennise's NPI number?

The NPI number for Miriam Pennise is 1790882397. It was assigned to this individual provider in the NPPES registry on September 19, 2006. The provider is also known as Mrs. Miriam Lee Duran Rn.

Where is Miriam Pennise located?

Miriam Pennise practices at 340 Veterans Hwy Ste 12, Commack, NY 11725. The listed phone number is (631) 486-8400.

What is Miriam Pennise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Miriam Pennise was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.