Joan Elizabeth Pellegrino
Clinical Genetics (M.D.)
725 Irving Ave Crouse Pob
Syracuse
, New York 13210-1603
Joan Elizabeth Pellegrino
Clinical Genetics (M.D.)
725 Irving Ave Crouse Pob
Syracuse
, New York 13210-1603
(315) 464-7238
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Joan Elizabeth Pellegrino
- 725 Irving Ave Crouse Pob
- Syracuse, NY
- Zip : 13210-1603
- Fax : (315) 464-7238
- Phone : (315) 464-6395
Second Address
- Joan Elizabeth Pellegrino
- 725 Irving Ave Crouse Pob
- Syracuse, NY
- Zip : 13210-1603
- Fax : (315) 464-7238
- Phone : (315) 464-6395
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 233547 | NY |
National Provider Identifier
| NPI | 1407876584 |
|---|---|
| Provider Name | Joan Elizabeth Pellegrino |
| First Address | Syracuse, NY 13210-1603 |
| Second Address | Syracuse, NY 13210-1603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 27/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02619152 | (05) | NY |
| G62256 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.