Individual
RENEE LYNN PECKOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9 DEDRICK RD, CATSKILL, NY 12414-5409
(518) 943-3410
Mailing address
9 DEDRICK RD, CATSKILL, NY 12414-5409
(518) 943-3410
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
473992
NY
163WH0200X
Home Health Registered Nurse
473992
NY
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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