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General NPI Number Information
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NPI Number | 1760431829
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Entity Type | Individual
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Provider Name | JAMES R PELLEGRINI MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2405 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1605
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Country | US
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Telephone | 718-338-7102
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Fax | 718-338-1280
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Provider Business Mailing Address
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Address Line | 400 GLEN COVE AVE
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City | SEA CLIFF
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State | NY
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Zip | 11579-2100
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Country | US
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Telephone | 516-766-7556
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Fax | 516-676-7534
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 152142
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 152142
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 152142
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 152142
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License Number State | NY
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