Peck, Christopher L

Peck, Christopher L is an individual health care provider with primary practice located at 1301 Trumansburg Rd Ste E, Ithaca NY 14850-1397. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Peck, Christopher L can be contacted via phone (607) 273-3161.

Contact Information

Primary practice address
1301 Trumansburg Rd Ste E Ithaca NY 14850-1397
Phone: (607) 273-3161
Fax: (607) 273-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002559 New York

Profile Details

NPI number 1164424362
LBN Legal business name Peck, Christopher L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164424362 NPPES
New York MEDICAID 2504263

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