Organization
APM NURSE PRACTITIONER IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PEGUERO-MEDRANO (OWNER)
(631) 388-7080
Entity
Organization
Contact information
Practice address
75 S BROADWAY STE 4-7584, WHITE PLAINS, NY 10601-4413
(631) 388-7080
(503) 334-2497
Mailing address
75 S BROADWAY STE 4-7584, WHITE PLAINS, NY 10601-4413
(631) 388-7080
(503) 334-2497
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
12/30/2022
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