Mr. Alexander Peguero-Medrano
Nurse Practitioner - Psychiatric/Mental Health
169 Putnam Hall
Stony Brook
, New York 11794-3240
Mr. Alexander Peguero-Medrano
Nurse Practitioner - Psychiatric/Mental Health
169 Putnam Hall
Stony Brook
, New York 11794-3240
(631) 632-5870
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Alexander Peguero-Medrano
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Fax : (631) 632-5870
- Phone : (631) 632-9510
Second Address
- Mr. Alexander Peguero-Medrano
- 169 Putnam Hall
- Stony Brook, NY
- Zip : 11794-3240
- Fax : (631) 632-5870
- Phone : (631) 632-9510
Reviews
FAQs
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Where did Mr. Alexander Peguero-Medrano do his fellowship?
Is Mr. Alexander Peguero-Medrano board certified?
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What is Mr. Alexander Peguero-Medrano ’s gender?
Is Mr. Alexander Peguero-Medrano a sole practitioner?
Is Mr. Alexander Peguero-Medrano accepting new patients?
What languages does Mr. Alexander Peguero-Medrano speak?
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Does Mr. Alexander Peguero-Medrano have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 402196 | NY |
National Provider Identifier
| NPI | 1033647623 |
|---|---|
| Provider Name | Mr. Alexander Peguero-Medrano |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | Stony Brook, NY 11794-3240 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2017 |
| Last Update Date | 25/02/2021 |
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.