Individual
BRUCE A PECKAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
995 STATE ST, ALBANY, NY 12203-1611
(518) 438-3544
Mailing address
995 STATE STREET, ALBANY, NY 12203-1048
(518) 438-3544
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401890
—
NY
Enumeration date
02/18/2006
Last updated
10/21/2008
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