Individual
PEGUY MESIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19138 112TH RD, SAINT ALBANS, NY 11412-2412
(347) 414-3892
Mailing address
19138 112TH RD, SAINT ALBANS, NY 11412-2412
(347) 414-3892
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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