Ivelise A Peguero, CLINICALLABTECH
Ivelise A Peguero, CLINICALLABTECH is a Clinical & Laboratory Dermatological Immunology Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
1901 1st Ave Rm 1208New York, NY 10029-7491
Phone: (212) 423-6271
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Specialties & licences
| Clinical & Laboratory Dermatological Immunology Physician (primary) | Taxonomy 207NI0002X · Licence 002964-1 (NY) |
|---|
Record details
| NPI number | 1093211351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CLINICALLABTECH |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2018 |
| Last updated in NPPES | April 4, 2018 |