Provider Demographics
NPI:1225826837
Name:PG DELIVERANCE INC.
Entity type:Organization
Organization Name:PG DELIVERANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PERON
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:917-287-7805
Mailing Address - Street 1:10 PAERDEGAT 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4132
Mailing Address - Country:US
Mailing Address - Phone:917-287-7805
Mailing Address - Fax:
Practice Address - Street 1:10 PAERDEGAT 2ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4132
Practice Address - Country:US
Practice Address - Phone:718-444-8572
Practice Address - Fax:718-444-8572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279E0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEmergency CareGroup - Single Specialty