Peguero-Medrano, Alexander

Peguero-Medrano, Alexander is an sole proprietor health care provider with primary practice located at 169 Putnam Hall , Stony Brook NY 11794-3240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Peguero-Medrano, Alexander can be contacted via phone (631) 632-9510.

Contact Information

Primary practice address
169 Putnam Hall Stony Brook NY 11794-3240
Phone: (631) 632-9510
Fax: (631) 632-5870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402196 New York

Profile Details

NPI number 1033647623
LBN Legal business name Peguero-Medrano, Alexander
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2017
Last updated Dec 27th, 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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