IVELISE A PEGUERO


Address: 1901 1st Ave Rm 1208, New York, NY 10029-7491
Phone: 2124236271

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
002964-1 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1901 1ST AVE RM 1208
City NEW YORK
State NY
Zip Code 10029-7491

Providers in the same zip code

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 Information

Taxonomy Code 207NI0002X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Clinical & Laboratory Dermatological Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

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.

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