IVELISE A PEGUERO (NPI# 1093211351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093211351 |
Entity Type | Individual |
Full Name | IVELISE A PEGUERO |
Credential | CLINICAL LAB TECH |
Practice Address |
1901 1st Ave Rm 1208 New York NY 10029-7491 |
Practice Telephone | 2124236271 |
Mailing Telephone | 2124236271 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
002964-1 | NY | Allopathic & Osteopathic Physicians |
Street Address |
1901 1ST AVE RM 1208 |
City | NEW YORK |
State | NY |
Zip Code | 10029-7491 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
Find all providers in zip 10029 |
Taxonomy Code | 207NI0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Clinical & Laboratory Dermatological Immunology |
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467625160 | Cardiac Diagnostic Associates,llc | Dermatology | 115 Central Park West, Suite 1, New York, NY 10023-0000 | 2008-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093089856 | Alexandra R Brecher | Dermatology | 100 Carleon Ave, Larchmont, NY 10538-3200 | 2012-02-26 |
1962793828 | Frank C Taliercio Md | Dermatology | 811 N Broadway, Suite 206, White Plains, NY 10603-2400 | 2011-04-27 |
1205912813 | Methodist Outrach Lab | Dermatology | 506 6th St, Brooklyn, NY 11215-3609 | 2006-10-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.