Provider Information for 1992165237
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FRANK PELLEGRINO LCSW, CASAC
Sex: Male
NPI: 1992165237
Last Updated: 2016-02-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1992165237 | ||||||||
| Enumeration Date | 2016-02-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5 PEMBROOKE CT. PUTNAM VALLEY, NY 10579 United States Phone: 914-557-7500 | Fax: | ||||||||
| Primary Practice Address | 5 PEMBROOKE CT PUTNAM VALLEY, NY 10579-3245 United States Phone: 914-557-7500 | Fax: | ||||||||
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