Individual
LAUREN PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-2700
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-2700
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306458
NY
363LW0102X
Women's Health Nurse Practitioner
421084
NY
Other
Enumeration date
06/21/2012
Last updated
09/29/2021
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