# APM NURSE PRACTITIONER IN PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982314035
- **Authorized official:** ALEXANDER PEGUERO-MEDRANO APRN (OWNER)
- **Authorized official phone:** (914) 201-0374

## Contact information

- **Practice address:** 418 BROADWAY STE 12102, ALBANY, NY 12207-2922
- **Practice address phone:** (914) 201-0374
- **Practice address fax:** (503) 334-2497
- **Mailing address:** 418 BROADWAY STE 12102, ALBANY, NY 12207-2922
- **Mailing address phone:** (914) 201-0374
- **Mailing address fax:** (503) 334-2497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2022
- **Last updated:** 08/24/2026