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Contact Information

KAREN M PELLICORE, FNP-BC
12657 SENECA ROAD
IRVING, NY14081
 Phone: 716-934-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAREN M PELLICORE · (Female)

NPI Number 1366498511
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/26/2006
Last updated 05/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 5005182
  • NY License # F335760-1
  • VT License # 1010027182
  • VT Medicaid 1012039
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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