IVELISE A PEGUERO CLINICAL LAB TECH NPI 1093211351

NPI Information

Ivelise A Peguero, CLINICAL LAB TECH is a clinical and laboratory dermatological immunology dermatology in New York, NY. The provider is 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. Ivelise A Peguero, CLINICAL LAB TECH NPI is 1093211351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 1ST AVE RM 1208
NEW YORK, NY
ZIP 10029-491
Phone: (212) 423-6271

The enumeration date for this NPI number is 4/4/2018 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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