| NPI | 1033647623 |
|---|---|
| Other Name | ALEXANDER PEGUERO-MEDRANO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402196) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2022-12-27 |