Individual
ASHLEIGH PEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179TH ST & LINDEN BLVD, ST. ALBANS, NY 11425
(718) 526-1000
Mailing address
179TH ST & LINDEN BLVD, ST. ALBANS, NY 11425
(718) 526-1000
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1386
WV
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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