Individual
DR. JO ANN PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 884-0888
Mailing address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 884-0888
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
494555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494555
REGISTERED NURSE
NY
Enumeration date
10/17/2023
Last updated
10/17/2023
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