Decastro Peguero, Claricio

Decastro Peguero, Claricio is an sole proprietor health care provider with primary practice located at 506 Lenox Avenue 3Rd Floor Mlk Bldg / Pain Management Clinic, New York NY 10037-1802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Decastro Peguero, Claricio can be contacted via phone (212) 939-1000.

Contact Information

Primary practice address
506 Lenox Avenue 3Rd Floor Mlk Bldg / Pain Management Clinic New York NY 10037-1802
Phone: (212) 939-1000
Fax: (212) 939-2068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 206656 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 206656 New York

Profile Details

NPI number 1841204211
LBN Legal business name Decastro Peguero, Claricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jan 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841204211 NPPES
New York MEDICAID 02060277

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