Individual provider · Type 1 NPI

Raven Samantha Peguero

Specialist · Freeport, NY

NPI number 1285539221 Active

Practice location

45 Shonnard Ave
Freeport, NY 11520-2416

Call (516) 234-0980 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1285539221

Raven Samantha Peguero's National Provider Identifier is 1285539221, issued on Oct 9, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Freeport, NY. The record was last updated on Oct 9, 2026.