Individual provider · Type 1 NPI

Alexander Peguero-Medrano, NP

Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY

NPI number 1033647623 Active

Practice location

169 Putnam Hall
Stony Brook, NY 11794-3240

Fax (631) 632-5870

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Other practice locations

  • 430 Lakeville Rd, New Hyde Park, NY 11042-1121 · (516) 470-8910
  • 318 Jericho Tpke Apt 1, Floral Park, NY 11001-2108 · (516) 314-7056
  • 2590 Frisby Ave, Bronx, NY 10461-3240 · (718) 239-1610

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X402196 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1033647623

Alexander Peguero-Medrano, NP's National Provider Identifier is 1033647623, issued on May 26, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stony Brook, NY. The record was last updated on Dec 27, 2022.