Individual
LEOTILDE PEGUERO CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 BRADY AVE APT 411, APT. 411, BRONX, NY 10462-2766
(718) 794-9383
(718) 790-9092
Mailing address
758 BRADY AVE APT 411, APT. 411, BRONX, NY 10462-2766
(718) 794-9383
(718) 790-9092
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/07/2010
Last updated
08/27/2013
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