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Organization
APM NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization
APM NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PEGUERO-MEDRANO APRN (OWNER)
(914) 201-0374
Entity
Organization
Contact information
Practice address
418 BROADWAY STE 12102, ALBANY, NY 12207-2922
(914) 201-0374
(503) 334-2497
Mailing address
418 BROADWAY STE 12102, ALBANY, NY 12207-2922
(914) 201-0374
(503) 334-2497
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
08/24/2026
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