Pergamo, Annette
Pergamo, Annette is an individual health care provider with primary practice located at 101 Nicolls Rd # T11-020 , Stony Brook NY 11794-1108. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Pergamo, Annette can be contacted via phone (631) 444-4601.Contact Information
Primary practice address
101 Nicolls Rd # T11-020
Stony Brook NY 11794-1108
Phone: (631) 444-4601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 671930 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 382510 | New York |
Profile Details
| NPI number | 1457767899 |
|---|---|
| LBN Legal business name | Pergamo, Annette |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2014 |
| Last updated | Jul 21st, 2022 - about 3 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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