Individual
TALIA HILLARY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
408 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5288
(845) 634-7500
(845) 634-7566
Mailing address
507 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 262-5313
(845) 262-5330
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022841
NY
Other
Enumeration date
09/06/2018
Last updated
10/29/2018
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