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Contact Information

BRUCE T PECORELLA, PA
110 WEST SIXTH STREET
OSWEGO, NY13126
 Phone: 315-349-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRUCE T PECORELLA · (Male)

NPI Number 1184718801
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/03/2006
Last updated 02/24/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 011447
Hospital affiliation(s)
  • OSWEGO HOSPITAL - (Acute Care)
    110 WEST SIXTH STREET
    OSWEGO, NY 13126
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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