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MARY LOU PECK FNP
NPI 1174759534
Nurse Practitioner - Family in Averill Park, NY

Active since May 29, 2009
196 VOSBURGH RD, AVERILL PARK, NY 12018(518) 892-8591 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lou Peck Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOU PECK FNP (NPI 1174759534) is an individual family provider in Averill Park, New York, licensed in New York (F3308081) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1174759534
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY LOU PECKCredential: FNP
Location Address196 VOSBURGH RDAverill Park, NY 12018-5710
Mailing Address196 Vosburgh RdAverill Park, NY 12018-5710 · (518) 892-8591
Phone(518) 892-8591
Sole ProprietorNo
Enumeration DateMay 29, 2009
✔ NPI 1174759534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F3308081
196 VOSBURGH RD, Averill Park, NY 12018
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lou Peck's NPI number?

The NPI number for Mary Lou Peck is 1174759534. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Mary Lou Peck located?

Mary Lou Peck practices at 196 Vosburgh Rd, Averill Park, NY 12018. The listed phone number is (518) 892-8591.

What is Mary Lou Peck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Lou Peck was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.