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NPI Code Detail

MEDICARE: DR. TRICIA ANN PELNIK-FECKO MD.

MEDICARE:  DR. TRICIA ANN PELNIK-FECKO  MD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician217562NY
2207R00000XInternal Medicine Physician217562NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407841661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRICIA ANN PELNIK-FECKO MD.
Provider Business Mailing Address
First Line : 1019 NEW LOUDON RD.
Second Line :
City : COHOES
State : NY
Zip : 12047
Country : US
Telephone Number : 518-262-7500
Fax Number : 518-262-7505
Provider Business Practice Location Address
First Line : 1019 NEW LOUDON RD.
Second Line :
City : COHOES
State : NY
Zip : 12047
Country : US
Telephone Number : 518-262-7500
Fax Number : 518-262-7505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 06/29/2021

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Directions to “ DR. TRICIA ANN PELNIK-FECKO MD.” Practice Location

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