| Doctor Name: | DR. BARBARA ANN PELC |
| NPI Number: | 1134349111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 003597 |
| Business Practice Address: | 57 The Promenade Glen Head, NY - 115451739 |
| Business Phone Number: | 5167596115 |
| Business Fax Number: | 5166760981 |
| Mailing Address: | 57 The Promenade, GLEN HEAD |
| State: | NY |
| Postal Code: | 115451739 |
| Phone Number: | 5167596115 |
| Fax Number: | 5166760981 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 003597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |