|Active||Over 10 years ago|
|887 KELLUM ST
LINDENHURST NY, 11757-1508, US
|69 PENN ST
PORT JEFFERSON STATION NY, 11776-3727, US
|License State||New York|
|Remove 1336337773 NPI Number|
According to our database, Nicole Peckham MSPT NPI is 1336337773, taxonomy code is 225100000X and license number is 026954, license state is located at New York. Nicole Peckham MSPT physically located at 887 Kellum St, Lindenhurst NY, 11757-1508. NPI Number Nicole Peckham MSPT has the Individual type.
1336337773 NPI number is provided on an as is basis without warranty of any kind. 1336337773 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Peckham MSPT are for informational purposes only.