Individual provider · Type 1 NPI
Robert J. Peck, DPM
Foot & Ankle Surgery Podiatrist · Mineola, NY
NPI number
1700294030
Active
Practice location
190 1st St
Mineola, NY 11501-4011
Fax (516) 548-0078
Mailing address
160 1st St Unit 41
Mineola, NY 11501-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | N006945-1 (NY) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N006945-1 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1700294030
Robert J. Peck, DPM's National Provider Identifier is 1700294030, issued on Jul 30, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Mineola, NY. The record was last updated on Jun 25, 2020.