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NPI Code Detail

MEDICARE: PG DELIVERANCE INC.

MEDICARE: PG DELIVERANCE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12279E0002XEmergency Care Registered Respiratory Therapist

General Provider Information

NPI Number : 1225826837
Entity Type Code : Organization
Provider Name (Legal Business Name) : PG DELIVERANCE INC.
Provider Business Mailing Address
First Line : 10 PAERDEGAT 2ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4132
Country : US
Telephone Number : 917-287-7805
Fax Number :
Provider Business Practice Location Address
First Line : 10 PAERDEGAT 2ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4132
Country : US
Telephone Number : 718-444-8572
Fax Number : 718-444-8572
Authorized Official
Title or Position : CEO/OWNER
Name : MR. PERON PIERRE
Credential : RRT
Telephone Number : 917-287-7805
Provider Enumeration Date : 04/25/2025
Last Update Date : 05/05/2025

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Directions to “PG DELIVERANCE INC. ” Practice Location

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