Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD PEGUERO, ORTHOTIST
Active Sole ProprietorEDWARD PEGUERO, ORTHOTIST is a Orthotist healthcare provider located in JACKSON HEIGHTS, New York. NPI 1588953293 is currently active in the NPPES registry. Verify at CMS.
Orthotist · JACKSON HEIGHTS, NY
Registration Details
- NPI Number
- 1588953293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2011 (15.385542792272 yrs)
- Last Updated
- May 12, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
8211 37TH AVENUE SUITE LL19JACKSON HEIGHTS, NY, 11372Browse NY providers · Browse ZIP 11372
- Phone
- 7182551986
- Fax
- 7182551989
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Durable Medical Equipment & Medical Supplies
- Additional Specialty
- Prosthetic/Orthotic Supplier
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.