Bruce A Peckage Dpm Pc in Albany - Podiatrist
Bruce A Peckage Dpm Pc - NPI 1356530190
Bruce A Peckage Dpm Pc is a Podiatrist in Albany, New York. Bruce A Peckage Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bruce A Peckage Dpm Pc is 1356530190. The last update date is 2007-12-10.
Bruce A Peckage Dpm Pc's current location address is 995 State St, Albany, New York. You can contact this provider via phone number 5184383544 and fax number 5184384292. The mailing address for Bruce A Peckage Dpm Pc is 995 State St, Albany, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce A Peckage Dpm Pc |
|---|---|
| Address | 995 State St, Albany, New York |
| Phone Number | 5184383544 |
| Fax Number | 5184384292 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peckage A Bruce |
| Credentials | DPM |
| Telephone Number | 5184383544 |
NPI Number Detail
| NPI Number | 1356530190 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-12-10 |
Provider Mailing Address Detail
| Address | 995 State St |
|---|---|
| City | Albany |
| State | New York (NY) |
| Post Code | 122031611 |
| Phone Number | 5184383544 |
| Fax Number | 5184384292 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | N002732 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 401890 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce A Peckage Dpm Pc by the Centers for Medicare & Medicaid Services?
The Bruce A Peckage Dpm Pc has been assigned the NPI (National Provider Identifier) 1356530190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Bruce A Peckage Dpm Pc is located?
The Bruce A Peckage Dpm Pc is situated at the following address: 995 State St, Albany, NY, 122031611.
What is the Bruce A Peckage Dpm Pc's specialty and taxonomy code?
The Bruce A Peckage Dpm Pc's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.
On what date did the Bruce A Peckage Dpm Pc receive its 1356530190 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Peckage Dpm Pc was assigned its 1356530190 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the details related to Bruce A Peckage Dpm Pc most recently updated or revised?
The information pertaining to Bruce A Peckage Dpm Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-10.