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Ivelise A Peguero, CLINICALLABTECH
Clinical & Laboratory Dermatological Immunology Physician in New York, New York
NPI 1093211351

Ivelise A Peguero is a Clinical & Laboratory Dermatological Immunology Physician based in New York, NY and is specialized in Clinical & Laboratory Dermatological Immunology. Ivelise A Peguero practices in New York, NY and has the professional credentials of CLINICALLABTECH. The NPI Number for Ivelise A Peguero is 1093211351 and holds a License No. 002964-1 (New York).

The current practice location address for Ivelise A Peguero is 1901 1St Ave Rm 1208, New York, NY and can be reached out via phone at 212-423-6271.

Location: 1901 1St Ave Rm 1208, New York, NY, 10029-7491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093211351
Provider Name
Ivelise A Peguero
Credential
CLINICALLABTECH
Provider Entity Type
Individual
Gender
Female
Address
1901 1St Ave Rm 1208, New York, NY, 10029-7491
Phone Number
212-423-6271
Fax Number
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 1St Ave Rm 1208
City
New York
State
New York
Zip
10029-7491
Phone Number
212-423-6271
Fax Number
person
Provider Business Mailing Address Details
Address
1901 1St Ave Rm 1208
City
New York
State
New York
Zip
10029-7491
Phone Number
212-423-6271
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Clinical & Laboratory Dermatological Immunology
Taxonomy
207NI0002X
License No.
002964-1 (New York)
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
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