Tiffany Ann Peguero

NPI #1962186254 in Westbury, New York

Provider Information

NPI Number: 1962186254
Entity Type: Individual
Name: Tiffany Ann Peguero
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 15, 2023
Last Updated: Jun 15, 2023

Practice Location

Address: 1400 OLD COUNTRY RD STE C103N
City: Westbury
State: New York
ZIP Code: 11590-5156
Phone: (347) 661-4765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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