Individual provider · Type 1 NPI

Gregory Pelerin

Licensed Practical Nurse · Valley Stream, NY

NPI number 1194084947 Active

Practice location

13 Cleveland St
Valley Stream, NY 11580-6003

Mailing address

75 Hawthorne St Apt 3E
Brooklyn, NY 11225-5732

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X302861-1 (NY)
Licensed Practical Nurse 164W00000X26NP06416100 (NJ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1194084947

Gregory Pelerin's National Provider Identifier is 1194084947, issued on May 15, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on May 15, 2012.