Provider Demographics
NPI:1629346101
Name:MCPEAKE, MARY BUDELMAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BUDELMAN
Last Name:MCPEAKE
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:4327 ALBANY POST RD
Mailing Address - Street 2:HYDE PARK ELEMENTARY SCHOOL
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-3600
Mailing Address - Country:US
Mailing Address - Phone:845-229-4050
Mailing Address - Fax:845-229-2933
Practice Address - Street 1:4327 ALBANY POST RD
Practice Address - Street 2:HYDE PARK ELEMENTARY SCHOOL
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-3600
Practice Address - Country:US
Practice Address - Phone:845-229-4050
Practice Address - Fax:845-229-2933
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
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Provider Licenses
StateLicense IDTaxonomies
NY216905163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse