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Individual

MR. LAWRENCE J PECORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1207 E MAIN ST, ENDICOTT, NY 13760-5219
(607) 785-3043
(607) 785-9093
Mailing address
1207 E MAIN ST, ENDICOTT, NY 13760-5219
(607) 785-3043
(607) 785-9093

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
207634
NY
207W00000X
Ophthalmology Physician
MD071473L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02257885
NY
01
207634
LICENSE
NY
01
MD071473L
LICENSE
PA
Enumeration date
10/05/2006
Last updated
03/07/2023
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