Individual
RONALD PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 FOREST AVE, STATEN ISLAND, NY 10302-2312
(718) 981-8117
Mailing address
460 BRIELLE AVE BLDG H, 460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-8722
NY
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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