Organization
MARIO PELLEGRINO PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY TERESA SOMOGYI COTA (COTA)
(914) 483-9896
Entity
Organization
Contact information
Practice address
204 PARKSIDE DR, SUFFERN, NY 10901-7853
(914) 483-9896
Mailing address
204 PARKSIDE DRIVE, SUFFERN, NY 10901
(914) 483-9896
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0039111
NY
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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