Individual
MR. JOSEPH TIMOTHY PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD, CCC-A
Contact information
Practice address
8272 CODYS CORS, CICERO, NY 13039-7927
(315) 443-2352
Mailing address
8272 CODYS CORS, CICERO, NY 13039-7927
(315) 443-2352
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02127411
—
NY
Enumeration date
08/30/2007
Last updated
08/30/2007
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