Peggy Joan Feary-Pray
Individual provider Active NPI Genetic Counselor (M.S.) · Corfu, NY
NPI 1295986644 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1295986644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Genetic Counselor (M.S.) 170300000X
- License
- RO58040-1 (NY)
- Practice address
- 2620 Richley Rd
Corfu, NY 14036-9623 - Phone
- (585) 547-3342
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016001811 | NY | Practitioner - Clinical Social Worker | 5496007619 | Practice locations: Medina, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO58040-1 | NY | MD | Genetic Counselor (M.S.) |
| 058040 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Genetic Counselor (M.S.) | 170300000X | RO58040-1 | NY | Yes |
Addresses
Primary practice location
2620 Richley Rd
Corfu, NY 14036-9623
Mailing address
2620 Richley Rd
Corfu, NY 14036-9623
Phone (585) 547-3342
Other providers in Corfu, NY
- Jacqueline Hope Dubois
- Darlene Carol Dylag
- Joan M Dylag
- Katherine Dylag
- Wendy Lynn Edwards
- Lisa Feitshans
- Matthew M Fernaays
- Thomas Edward Finn
- Michelle M Fisher
- Lisa Kristine Franclemont
All providers in Corfu, NY · Genetic Counselor (M.S.) in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.