Organization
MARIO F PELLEGRINO PEDS OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO F PELLEGRINO OTR/L (OCCUPATIONAL THERAPIST)
(845) 893-7550
Entity
Organization
Contact information
Practice address
4 CARLTON CT, NEW CITY, NY 10956-5830
(845) 893-7550
(845) 639-6749
Mailing address
4 CARLTON CT, NEW CITY, NY 10956-5830
(845) 893-7550
(845) 639-6749
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
005347-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
NY
Enumeration date
09/07/2011
Last updated
09/07/2011
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