Provider Demographics
NPI:1790032944
Name:PIEGARI, PETER GIACOMO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:GIACOMO
Last Name:PIEGARI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COURT ST STE 1711
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-1117
Mailing Address - Country:US
Mailing Address - Phone:718-643-5300
Mailing Address - Fax:718-534-6474
Practice Address - Street 1:26 COURT ST STE 1711
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-1117
Practice Address - Country:US
Practice Address - Phone:718-237-2127
Practice Address - Fax:718-237-0831
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008641103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist