Individual
DR. ARIS RAFAEL PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43-22 50TH ST. STE 1C, WOODSIDE, NY 11377
(718) 424-9292
Mailing address
75 PIERREPONT ST APT 1C, BROOKLYN, NY 11201-2428
(718) 243-1889
(718) 222-1355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02163931
—
NY
Enumeration date
05/22/2007
Last updated
07/09/2007
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