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:
Map and Directions
Authorized official contact:
Name: Peckage, Bruce A Doctor of Podiatric Medicine (DPM)
Phone: (518) 438-3544

Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356530190 NPPES
New York MEDICAID 00401890

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