Organization · Type 2 NPI

Mario F Pellegrino Peds Ot PC

Local Education Agency (LEA) · New City, NY

NPI number 1043591894 Active

Practice location

4 Carlton Ct
New City, NY 10956-5830

Fax (845) 639-6749

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000X005347-1 (NY)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1043591894

Mario F Pellegrino Peds Ot PC's National Provider Identifier is 1043591894, issued on Sep 7, 2011. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in New City, NY. The record was last updated on Sep 7, 2011.