Provider Demographics
NPI:1053321414
Name:PECORA, MARIA NANCY (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:NANCY
Last Name:PECORA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:55 WATER ST
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:447 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1702
Practice Address - Country:US
Practice Address - Phone:718-858-6300
Practice Address - Fax:718-858-0145
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN003596-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00826031Medicaid
NYP38242OtherBLUE CROSS BLUE SHIELD
NYDS693OtherOXFORD
NY00826031Medicaid
NYDS693OtherOXFORD
NYDS693OtherOXFORD