Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVELISE A PEGUERO, CLINICAL LAB TECH
Active Sole ProprietorClinical & Laboratory Dermatological Immunology · NEW YORK, NY
Registration Details
- NPI Number
- 1093211351
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2018 (8.0488684761607 yrs)
- Last Updated
- Apr 4, 2018
- License
-
002964-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1901 1ST AVE RM 1208NEW YORK, NY, 100297491Browse NY providers · Browse ZIP 10029
- Phone
- 2124236271
- Primary Specialty
-
Clinical & Laboratory Dermatological Immunology
207NI0002X
Other Clinical & Laboratory Dermatological Immunology Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| DONALD VINCENT BELSITO | MD | 1700869294 |
| DR. MICHAEL WHITLOW | M.D., PH.D. | 1669431979 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.