Organization
BRUCE A PECKAGE DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A PECKAGE DPM (PRESIDENT)
(518) 438-3544
Entity
Organization
Contact information
Practice address
995 STATE ST, ALBANY, NY 12203-1611
(518) 438-3544
(518) 438-4292
Mailing address
995 STATE ST, ALBANY, NY 12203-1611
(518) 438-3544
(518) 438-4292
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002732
NY
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401890
—
NY
Enumeration date
10/17/2007
Last updated
12/10/2007
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