IndividualActive
Alexander Peguero-Medrano, NP
NPI 1033647623 · Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY
Provider details
- NPI number
- 1033647623
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 402196 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
169 Putnam Hall
Stony Brook, NY 11794-3240
Phone: (631) 632-9510
Fax: (631) 632-5870
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Additional practice locations (3)
- 2590 Frisby AveBronx, NY 10461-3240Phone: (718) 239-1610
- 318 Jericho Tpke Apt 1Floral Park, NY 11001-2108Phone: (516) 314-7056
- 430 Lakeville RdNew Hyde Park, NY 11042-1121Phone: (516) 470-8910
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.