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NPI Code Detail

MEDICARE: MR. RICHARD PECCI

MEDICARE: MR. RICHARD PECCI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1942151113
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD PECCI
Provider Business Mailing Address
First Line : 31 CEDAR VALLEY LN
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-1804
Country : US
Telephone Number : 917-567-7933
Fax Number :
Provider Business Practice Location Address
First Line : 31 CEDAR VALLEY LN
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-1804
Country : US
Telephone Number : 917-567-7933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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