Individual provider · Type 1 NPI
Gretel Gisela Pellegrini, DDS
Periodontics · Port Chester, NY
NPI number
1851063572
Active
Practice location
430 Westchester Ave Ste 1
Port Chester, NY 10573-2843
Mailing address
1 Blue Slip Apt 19D
Brooklyn, NY 11222-6757
Other practice locations
- 340 E Northfield Rd Ste 2A, Livingston, NJ 07039-4892 · (973) 992-8600
- 2 Stowe Rd Ste 8, Peekskill, NY 10566-2582 · (914) 817-0372
- 3753 91st St, Jackson Heights, NY 11372-7901 · (718) 205-4377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12981 (CT) |
| Periodontics Primary | 1223P0300X | 063371 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1851063572
Gretel Gisela Pellegrini, DDS's National Provider Identifier is 1851063572, issued on Sep 30, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Port Chester, NY. The record was last updated on Feb 7, 2025.