Organization · NPI-2

Bruce A Peckage Dpm PC

Podiatrist · Albany, NY

NPI number1356530190
StatusActive
Last updated in NPPESDec 10, 2007

Details

NPI
1356530190
Entity type
Organization (NPI-2)
Legal business name
Bruce A Peckage Dpm PC
Organization subpart
No
Enumeration date
Oct 17, 2007
Last updated
Dec 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristN002732NYYes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––

Practice location

995 State St
Albany, NY 12203-1611

Phone 518-438-3544 · Fax 518-438-4292

Mailing address

995 State St
Albany, NY 12203-1611

Phone 518-438-3544 · Fax 518-438-4292

Authorized official

Bruce A Peckage
President
5184383544

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