Idaise Peguero
MD | Pediatrics | Female
Idaise Peguero, MD is a New York, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Idaise Peguero is
2253 3rd Ave, 3rd Floor, New York, New York - 10035-2206. She can be contacted on phone at
212-289-6650.
Idaise Peguero is a sole proprietor of her business.
NPI number (Unique professional ID) for Idaise Peguero is
1184745317 which was assigned by NPPES on 03 Apr, 2007 and it was last updated on 08 Jul, 2007.
Idaise Peguero license number is
149606 for Pediatrics (208000000X) in New York.
Idaise Peguero is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Idaise Peguero basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Idaise Peguero |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Idaise Peguero address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2253 3rd Ave, 3rd Floor
New York, NY, 10035-2206
United States |
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| Phone Number : | 212-289-6650 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184745317 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Apr, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idaise Peguero are as mentioned. Primary taxonomy code for Idaise Peguero, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 149606 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Idaise Peguero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00149606 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1210 Beach Avenue
Bronx, NY, 10472
United States |
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| Phone Number : | 718-931-6394 |
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Business Location:
Patients can refer following map for directions to
Idaise Peguero practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.