National Provider Identifier

Molly Peck

Molly Peck is listed in the NPPES registry with a primary specialty of Specialist in Irondequoit, NY and a listed phone number of (585) 467-4567.

NPI 1073969655Irondequoit, NYSpecialist

Profile Overview

NPI
1073969655
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
May 12, 2016
Last Updated
May 12, 2016

Practice Location

  • 2111 Hudson Ave
  • Irondequoit, NY 14617-4346

Phone: (585) 467-4567

Specialties

  • Specialist (174400000X)
  • Specialist (174400000X)
Full Record
NPI
1073969655
Entity Type
Individual
Last Name
Peck
First Name
Molly
Mailing Street Address
2111 Hudson Ave
Mailing City
Irondequoit
Mailing State
NY
Mailing ZIP Code
14617-4346
Mailing Country
US
Mailing Phone
(585) 467-4567
Practice Street Address
2111 Hudson Ave
Practice City
Irondequoit
Practice State
NY
Practice ZIP Code
14617-4346
Practice Country
US
Practice Phone
(585) 467-4567
Enumeration Date
May 12, 2016
Last Updated
May 12, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X), Specialist (174400000X)