Peregrim, Dorine

Peregrim, Dorine is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peregrim, Dorine can be contacted via phone (518) 897-2317.

Contact Information

Primary practice address
2233 State Route 86 Saranac Lake NY 12983-5644
Phone: (518) 897-2317
Fax: (518) 897-2423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 012312 New York

Profile Details

NPI number 1285836445
LBN Legal business name Peregrim, Dorine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 9th, 2007 - about 18 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 1285836445 NPPES
New York MEDICAID 00363213
New York Other 012312

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