Individual
DR. ROBERT J. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
190 1ST ST, MINEOLA, NY 11501-4011
(516) 587-9981
(516) 548-0078
Mailing address
160 1ST ST UNIT 41, MINEOLA, NY 11501-5001
(516) 587-9981
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006945-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006945-1
NY
Other
Enumeration date
07/30/2014
Last updated
06/25/2020
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