Bruce A Peckage Dpm Pc
LBN: Bruce A Peckage Dpm Pc
Bruce A Peckage Dpm Pc is an health care organization with primary practice located at 995 State St , Albany NY 12203-1611. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Bruce A Peckage Dpm Pc can be contacted via phone (518) 438-3544, or through Peckage, Bruce A via phone (518) 438-3544.
Contact Information
Primary practice address
995 State St
Albany NY 12203-1611
Phone: (518) 438-3544
Fax: (518) 438-4292
Website:
Authorized official contact:
Name: Peckage, Bruce A Doctor of Podiatric Medicine (DPM)
Phone: (518) 438-3544
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N002732 | New York |
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1356530190 |
|---|---|
| LBN Legal business name | Bruce A Peckage Dpm Pc |
| DBA Doing business as | |
| Authorized official | Peckage, Bruce A Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Dec 10th, 2007 - about 19 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356530190 | NPPES |
| New York | MEDICAID | 00401890 |
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