1164071643 NPI number — PATRICIA PEGUERO-VIDAL MS, CCC-SLP, TSSLD-B

Table of content: PATRICIA PEGUERO-VIDAL MS, CCC-SLP, TSSLD-B (NPI 1164071643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164071643 NPI number — PATRICIA PEGUERO-VIDAL MS, CCC-SLP, TSSLD-B

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PEGUERO-VIDAL
Provider First Name:
PATRICIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, CCC-SLP, TSSLD-B
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164071643
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13832 68TH DR APT 3B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLUSHING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11367-1663
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-793-5476
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14439 GRAVETT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11367-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-793-2130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  029115 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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