Peguero, Ivelise A
Peguero, Ivelise A is an sole proprietor health care provider with primary practice located at 1901 1St Ave Rm 1208 , New York NY 10029-7491. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as her primary health care specialty. Peguero, Ivelise A can be contacted via phone (212) 423-6271.Contact Information
Primary practice address
1901 1St Ave Rm 1208
New York NY 10029-7491
Phone: (212) 423-6271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 002964-1 | New York |
Profile Details
| NPI number | 1093211351 |
|---|---|
| LBN Legal business name | Peguero, Ivelise A |
| Credentials | CLINICAL LAB TECH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Apr 4th, 2018 - about 7 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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