Individual
MRS. LINDA JEAN PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1220 NEW SCOTLAND RD, SUITE 103, SLINGERLANDS, NY 12159-9386
(518) 439-4326
(518) 439-6143
Mailing address
1220 NEW SCOTLAND RD, SUITE 103, SLINGERLANDS, NY 12159-9386
(518) 439-4326
(518) 439-6143
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
003592
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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