Individual
MR. SALVATORE RUSSELL PECORARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 OHIO STREET, MEDINA MEMORIAL HOSPITAL, MEDINA, NY 14103
(585) 798-8080
Mailing address
37 FORESTVIEW COURT, WILLIAMSVILLE, NY 14221-1445
(716) 689-6765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
183816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183816
—
NY
Enumeration date
02/22/2007
Last updated
03/07/2023
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