Individual
JAMES R PELLEGRINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 AVENUE P, BROOKLYN, NY 11229-1605
(718) 338-7102
(718) 338-1280
Mailing address
400 GLEN COVE AVE, SEA CLIFF, NY 11579-2100
(516) 766-7556
(516) 676-7534
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
152142
NY
207KA0200X
Allergy Physician
152142
NY
207R00000X
Internal Medicine Physician
152142
NY
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
152142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01850724
—
NY
01
—
152142
NEW YORK LICENSE
NY
Enumeration date
05/08/2006
Last updated
06/17/2025
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