Idaise Peguero MD

NPI 1184745317 - Pediatrics - 208000000X

NPI Details
NPI 1184745317
Gender Female
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2253 3RD AVE
3RD FLOOR
NEW YORK NY, 10035-2206, US
Phone (212) 289-6650
Fax
Business Location
1210 BEACH AVENUE
BRONX NY, 10472, US
Phone (718) 931-6394
Fax
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 149606
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According to our database, Idaise Peguero MD NPI is 1184745317, taxonomy code is 208000000X and license number is 149606, license state is located at New York. Idaise Peguero MD physically located at 2253 3rd Ave, New York NY, 10035-2206. NPI Number Idaise Peguero MD has the Individual type.

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1184745317 NPI number is provided on an as is basis without warranty of any kind. 1184745317 is maintained by the National Plan & Provider Enumeration System. The contents of Idaise Peguero MD are for informational purposes only.