Individual
BRUCE T PECORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
110 WEST SIXTH STREET, OSWEGO, NY 13126
(315) 349-5511
Mailing address
292A DUER ST, OSWEGO, NY 13126
(315) 216-6347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
011447
NY
363A00000X
Physician Assistant
Primary
011447
NY
Other
Enumeration date
10/03/2006
Last updated
02/24/2009
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