Peck, Robert J.

Peck, Robert J. is an individual health care provider with primary practice located at 190 1St St , Mineola NY 11501-4011. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Peck, Robert J. can be contacted via phone (516) 587-9981.

Contact Information

Primary practice address
190 1St St Mineola NY 11501-4011
Phone: (516) 587-9981
Fax: (516) 548-0078
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006945-1 New York
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N006945-1 New York

Profile Details

NPI number 1700294030
LBN Legal business name Peck, Robert J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2014
Last updated Jun 25th, 2020 - about 5 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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