Individual
MRS. ANGEL MARIE DEREPENTIGNY-PECAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16 SIMMONS AVE, COHOES, NY 12047-2329
(518) 235-5925
Mailing address
16 SIMMONS AVE, COHOES, NY 12047-2329
(518) 235-5925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
284063
NY
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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