Doctor Name: | MR. PEDRO DELGADO |
NPI Number: | 1013246677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS. |
License Number: | |
Business Practice Address: | 317 Lexington Ave 2nd Floor New Haven, CT - 065134047 |
Business Phone Number: | 2034646913 |
Business Fax Number: | |
Mailing Address: | 317 Lexington Ave, 2nd Floor NEW HAVEN |
State: | CT |
Postal Code: | 065134047 |
Phone Number: | 2034646913 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |