Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N003596-1 | NY |
Y | 222Z00000X | Podiatrist | N003596-1 | NY |
NPI | 1053321414 |
---|---|
Provider Name | Dr. Maria Nancy Pecora |
First Address | New York, NY 10041-0004 |
Second Address | Brooklyn, NY 11217-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 23/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00826031 | (05) | NY |
DS693 | OXFORD (01) | NY |
P38242 | BLUE CROSS BLUE SHIELD (01) | NY |
T32026 | (02) | NY |