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IVELISE A PEGUERO CLINICAL LAB TECH
NPI 1093211351
Dermatology - Clinical & Laboratory Dermatological Immunology in New York, NY

Active since April 04, 2018
1901 1ST AVE RM 1208, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivelise A Peguero Clinical Lab Tech NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVELISE A PEGUERO CLINICAL LAB TECH (NPI 1093211351) is an individual clinical & laboratory dermatological immunology provider in New York, New York, licensed in New York (002964-1) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1093211351
Entity TypeIndividualFemale
Primary Taxonomy207NI0002X
Provider Legal NameIVELISE A PEGUEROCredential: CLINICAL LAB TECH
Location Address1901 1ST AVE RM 1208New York, NY 10029-7491
Mailing Address1901 1st Ave Rm 1208New York, NY 10029-7491 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorYes
Enumeration DateApril 4, 2018
✔ NPI 1093211351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in NY · 002964-1
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.
1901 1ST AVE RM 1208, New York, NY 10029
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivelise Peguero's NPI number?

The NPI number for Ivelise Peguero is 1093211351. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Ivelise Peguero located?

Ivelise Peguero practices at 1901 1st Ave Rm 1208, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Ivelise Peguero's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

When was this NPI record last updated?

The NPPES record for Ivelise Peguero was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.