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1184745317
IDAISE PEGUERO
NEW YORK, NY
NPI
1184745317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 149606)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- IDAISE PEGUERO MD
2253 3RD AVE 3RD FLOOR
NEW YORK, NY 10035-2206
Phone number: 212-289-6650
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Mailing Address
-- IDAISE PEGUERO MD
1210 BEACH AVENUE
BRONX, NY 10472
Phone number: 718-931-6394
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