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Mary Lou Peck, FNP
Family Nurse Practitioner in Averill Park, New York
NPI 1174759534

Mary Lou Peck is a Family Nurse Practitioner based in Averill Park, NY and is specialized in Family. Mary Lou Peck practices in Averill Park, NY and has the professional credentials of FNP. The NPI Number for Mary Lou Peck is 1174759534 and holds a License No. F3308081 (New York).

The current practice location address for Mary Lou Peck is 196 Vosburgh Rd, Averill Park, NY and can be reached out via phone at 518-892-8591.

Location: 196 Vosburgh Rd, Averill Park, NY, 12018-5710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174759534
Provider Name
Mary Lou Peck
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
196 Vosburgh Rd, Averill Park, NY, 12018-5710
Phone Number
518-892-8591
Fax Number
Provider Enumeration Date
05/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
196 Vosburgh Rd
City
Averill Park
State
New York
Zip
12018-5710
Phone Number
518-892-8591
Fax Number
person
Provider Business Mailing Address Details
Address
196 Vosburgh Rd
City
Averill Park
State
New York
Zip
12018-5710
Phone Number
518-892-8591
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F3308081 (New York)
Definition
Definition to come...
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