Provider Demographics
NPI:1851037964
Name:PELLERANO, CESAR EMILIO JR (LMHC)
Entity Type:Individual
Prefix:MR
First Name:CESAR
Middle Name:EMILIO
Last Name:PELLERANO
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:915 WESTCHESTER AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-3009
Mailing Address - Country:US
Mailing Address - Phone:646-224-9300
Mailing Address - Fax:646-224-9312
Practice Address - Street 1:915 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3009
Practice Address - Country:US
Practice Address - Phone:646-224-9300
Practice Address - Fax:646-224-9312
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health