Louis Pellegrino in Syracuse - Neurodevelopmental Disabilities

Louis Pellegrino - NPI 1619924354

Louis Pellegrino is a Neurodevelopmental Disabilities in Syracuse, New York. Louis Pellegrino practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Louis Pellegrino is 1619924354. The last update date is 2013-08-27.

Louis Pellegrino's current location address is 725 Irving Ave, Syracuse, New York. You can contact this provider via phone number 3154646395 and fax number 3154647564. The mailing address for Louis Pellegrino is 725 Irving Ave, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Louis Pellegrino
Address 725 Irving Ave, Syracuse, New York
Phone Number 3154646395
Fax Number 3154647564
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619924354
Provider Enumeration Date 2006-05-28
Last Updated Date 2013-08-27

Provider Mailing Address Detail

Address 725 Irving Ave
City Syracuse
State New York (NY)
Post Code 132101603
Phone Number 3154646395
Fax Number 3154647564

Provider's Primary Taxonomy Detail

Speciality Neurodevelopmental Disabilities
Taxonomy 2080P0008X
Licence No 185838
Definition:
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1404291 NY --

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FAQs about Louis Pellegrino

What is the unique 10-digit identifier code issued to Louis Pellegrino by the Centers for Medicare & Medicaid Services?

The Louis Pellegrino has been assigned the NPI (National Provider Identifier) 1619924354 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Louis Pellegrino is located?

The Louis Pellegrino is situated at the following address: 725 Irving Ave, Syracuse, NY, 132101603.

What is Louis Pellegrino's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Louis Pellegrino's specialized field of practice is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0008X.

On what date did the Louis Pellegrino receive its 1619924354 assignment from the Centers for Medicare & Medicaid Services?

The Louis Pellegrino was assigned its 1619924354 by the Centers for Medicare & Medicaid Services on 2006-05-28.

As of what date were the details pertaining to Louis Pellegrino last refreshed?

The information related to the Louis Pellegrino, including its address, specialty, and other relevant details, was last updated on 2013-08-27.

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